Skilled Nursing Facility Healthcare-Associated Infections Requiring Hospitalization (SNF HAI)

SNF stays are excluded from the denominator if they meet one or more of the following criteria: (i) residents who are less than 18 years of age at the time of admission; (ii) the SNF length of stay was shorter than four days; (iii) residents who were not continuously enrolled in Part A FFS Medicare during the SNF stay, 12 months prior to the measure period, and three days after the end of the SNF stay; (iv) residents who did not have a Part A short-term acute care hospital stay within 30 days prior to the SNF admission date (the short-term stay must have positive payment and positive length of stay); (v) residents who were transferred to a federal hospital from the SNF as determined by the discharge status code on the SNF claim, (vi) residents who received care from a provider located outside of the United States, Puerto Rico, or a United States territory as determined from the first two characters of the SNF CCN; (vii) SNF stays in which data were missing on any variable used in the measure construction or risk adjustment, (viii) stays where Medicare did not pay for the stay resulting in a non-positive payment on the SNF claim, and (xi) swing bed stays in critical access hospitals.