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42 U.S.C. § 280j–3Quality improvement program for hospitals with a high severity adjusted readmission rate

submitted 82 years ago by Pub. L. 111-148 to r/title-42-THE-PUBLIC-HEALTH-AND-WELFARE · 170 words · no verdicts yet

in plain englishAI-generated · not legal advice

The Secretary must set up a program to help hospitals with high readmission rates improve. These hospitals work with patient safety organizations and report back on their progress. The Secretary decides which hospitals qualify using risk adjustment.

(a) Establishment. (1) In general — Within two years of March 23, 2010, the Secretary must offer a program to help eligible hospitals lower their readmission rates by working with patient safety organizations. (2) Eligible hospital defined — An "eligible hospital" is one the Secretary decides has a high rate of risk-adjusted readmissions for certain conditions and has not done enough to fix it. (3) Risk adjustment — The Secretary must use proper risk-adjustment methods to decide which hospitals qualify. (b) Report to the Secretary. As the Secretary requires, eligible hospitals and the patient safety organizations working with them must report on the steps they took to cut readmissions and how well those steps worked.
the actual law source: uscode.house.gov ↗public domain
(a) Establishment
(1) In general

Not later than 2 years after March 23, 2010, the Secretary shall make available a program for eligible hospitals to improve their readmission rates through the use of patient safety organizations (as defined in section 299b–21(4) of this title).

(2) Eligible hospital defined

In this subsection, the term “eligible hospital” means a hospital that the Secretary determines has a high rate of risk adjusted readmissions for the conditions described in section 1395ww(q)(8)(A) of this title and has not taken appropriate steps to reduce such readmissions and improve patient safety as evidenced through historically high rates of readmissions, as determined by the Secretary.

(3) Risk adjustment

The Secretary shall utilize appropriate risk adjustment measures to determine eligible hospitals.

(b) Report to the Secretary

As determined appropriate by the Secretary, eligible hospitals and patient safety organizations working with those hospitals shall report to the Secretary on the processes employed by the hospital to improve readmission rates and the impact of such processes on readmission rates.

Source credit: (July 1, 1944, ch. 373, title III, § 399KK, as added Pub. L. 111–148, title III, § 3025(b), Mar. 23, 2010, 124 Stat. 412.)

history & why it existsrecord from the source credit
  • 1944Enacted · Pub. L. 111-148 · 124 Stat. 412

A history note hasn’t been published yet. The record shows enactment by Pub. L. 111-148 on 1944-07-01.

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