{
 "id": "pdc:yq43-i98g",
 "slug": "hospital-acquired-condition-hac-reduction-program",
 "source": "provider-data",
 "title": "Hospital-Acquired Condition (HAC) Reduction Program",
 "summary": "Hospital measure scores and Total HAC Scores under the Hospital-Acquired Condition Reduction Program, which cuts Medicare payments to hospitals in the lowest performing quartile.",
 "description": "Hospital-Acquired Condition (HAC) Reduction Program (HACRP) - In October 2014, CMS began reducing Medicare fee-for-service payments for subsection (d) hospitals that rank in the worst-performing quartile with respect to hospital-acquired condition (HAC) quality measures. Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction. This table contains hospitals' measure and Total HAC scores. The Total HAC Score is calculated as the equally weighted average of hospitals' individual measure scores.",
 "aliases": [
  "hospital acquired conditions",
  "HAC penalty",
  "HACRP"
 ],
 "keywords": [
  "PSI",
  "Complications",
  "Hospital-Acquired Condition",
  "Healthcare Associated Infections",
  "Surgical Site Infections",
  "MRSA",
  "Catheter Associated Urinary Tract Infections",
  "Central Line Associated Blood Stream Infections",
  "C.Difficile"
 ],
 "themes": [
  "Hospitals"
 ],
 "topics": [
  "hospitals"
 ],
 "category": "Hospitals",
 "publisher": "Centers for Medicare & Medicaid Services (CMS)",
 "contact": null,
 "landing_url": "https://data.cms.gov/provider-data/dataset/yq43-i98g",
 "csv_url": "https://data.cms.gov/provider-data/sites/default/files/resources/74be67fd6833391f578abb5605d03ce6_1770163605/FY_2026_HAC_Reduction_Program_Hospital.csv",
 "api_url": "https://data.cms.gov/provider-data/api/1/datastore/query/yq43-i98g/0",
 "api_kind": "dkan-datastore",
 "preview_url": null,
 "dictionary_url": "https://data.cms.gov/provider-data/sites/default/files/data_dictionaries/hospital/HOSPITAL_Data_Dictionary.pdf",
 "dictionary_kind": "pdf",
 "methodology_urls": [],
 "state_column": "state",
 "row_count": 3055,
 "posted": "2026-08-13",
 "modified": "2026-01-26",
 "period_start": null,
 "period_end": null,
 "latest_period": null,
 "cadence": null,
 "next_update": null,
 "versions": [],
 "columns": [
  {
   "name": "facility_name",
   "label": "Facility Name",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "facility_id",
   "label": "Facility ID",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "state",
   "label": "State",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "fiscal_year",
   "label": "Fiscal Year",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "psi_90_composite_value",
   "label": "PSI 90 Composite Value",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "psi_90_composite_value_footnote",
   "label": "PSI 90 Composite Value Footnote",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "psi_90_w_z_score",
   "label": "PSI 90 W Z Score",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "psi_90_w_z_footnote",
   "label": "PSI 90 W Z Footnote",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "psi_90_start_date",
   "label": "PSI 90 Start Date",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "psi_90_end_date",
   "label": "PSI 90 End Date",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "clabsi_sir",
   "label": "CLABSI SIR",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "clabsi_sir_footnote",
   "label": "CLABSI SIR Footnote",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "clabsi_w_z_score",
   "label": "CLABSI W Z Score",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "clabsi_w_z_footnote",
   "label": "CLABSI W Z Footnote",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "cauti_sir",
   "label": "CAUTI SIR",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "cauti_sir_footnote",
   "label": "CAUTI SIR Footnote",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "cauti_w_z_score",
   "label": "CAUTI W Z Score",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "cauti_w_z_footnote",
   "label": "CAUTI W Z Footnote",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "ssi_sir",
   "label": "SSI SIR",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "ssi_sir_footnote",
   "label": "SSI SIR Footnote",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "ssi_w_z_score",
   "label": "SSI W Z Score",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "ssi_w_z_footnote",
   "label": "SSI W Z Footnote",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "cdi_sir",
   "label": "CDI SIR",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "cdi_sir_footnote",
   "label": "CDI SIR Footnote",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "cdi_w_z_score",
   "label": "CDI W Z Score",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "cdi_w_z_footnote",
   "label": "CDI W Z Footnote",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "mrsa_sir",
   "label": "MRSA SIR",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "mrsa_sir_footnote",
   "label": "MRSA SIR Footnote",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "mrsa_w_z_score",
   "label": "MRSA W Z Score",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "mrsa_w_z_footnote",
   "label": "MRSA W Z Footnote",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "hai_measures_start_date",
   "label": "HAI Measures Start Date",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "hai_measures_end_date",
   "label": "HAI Measures End Date",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_hac_score",
   "label": "Total HAC Score",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "total_hac_score_footnote",
   "label": "Total HAC Score Footnote",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "payment_reduction",
   "label": "Payment Reduction",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "payment_reduction_footnote",
   "label": "Payment Reduction Footnote",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  }
 ],
 "caveats": [
  "CMS says hospitals with a Total HAC Score above the 75th percentile get a 1 percent payment reduction."
 ],
 "curated": true,
 "license": "https://www.usa.gov/publicdomain/label/1.0/",
 "detail_key": "yq43-i98g|2026-01-26|https://data.cms.gov/provider-data/sites/default/files/resources/74be67fd6833391f578abb5605d03ce6_1770163605/FY_2026_HAC_Reduction_Program_Hospital.csv",
 "checked": "2026-10-25",
 "source_name": "Provider Data Catalog"
}