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For fiscal year 2018, more than 740 hospitals were fined for reporting excess cases of hospital-acquired conditions (HACs), losing a total of $244.3 million in revenue. The top 25 hospitals that faced the largest penalties lost more than $42.3 million. In an effort to reduce the number of preventable illnesses and readmissions post-acute care, the Center for Medicare and Medicaid Services (CMS) launched the HAC Reduction Program as a means to incentivize hospitals to take stronger precautionary measures.

Development of HACs leads to increased healthcare spending, a higher risk of patient deaths and readmissions, longer length of stay, and other complications. CMS tracks 14 HACs across several categories, including surgical site infections, blood stream infections, and pressure ulcers. However, the HAC Reduction Program only takes 6 of these into account: Clostridium Difficile (C.Diff), Catheter-Associated Urinary Tract Infections (CAUTI), Central-Line-Associated Blood Stream Infections (CLABSI), Methicillin-resistant Staphylococcus aureus (MRSA), and Surgical Site Infections for colon surgeries and hysterectomies.

Of the hospitals facing the highest fines from the HAC Reduction Program, 7 of the top 25 are located in New York — more than any other single state. Connecticut, Florida, New Jersey, and Pennsylvania all had 2 hospitals on the list.

25 Hospitals with the Greatest Revenue Loss from 2018 HAC Penalties

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Hospital NameFY 2018 HAC ScoreEst. Revenue LossNumber of DischargesExplore This Dataset
1.Yale New Haven Hospital (CT)0.5$2,877,81666,291Explore This Profile
2.Mount Sinai Medical Center (NY)0.39$2,379,48956,276Explore This Profile
3.NYU Langone Health Tisch Hospital (NY)0.45$2,240,56656,006Explore This Profile
4.Stanford Hospital (CA)0.57$2,105,55525,142Explore This Profile
5.Montefiore Hospital - Moses Campus (NY)0.79$1,899,58386,865Explore This Profile
6.Methodist University Hospital (TN)0.45$1,857,32563,220Explore This Profile
7.Norton Hospital (KY)0.88$1,824,78172,972Explore This Profile
8.UCSF Helen Diller Medical Center at Parnassus Heights (CA)0.42$1,788,89635,009Explore This Profile
9.MedStar Washington Hospital Center (DC)0.81$1,723,42531,705Explore This Profile
10.Long Island Jewish Medical Center (NY)0.51$1,670,22870,901Explore This Profile
11.UPMC Presbyterian (PA)0.45$1,628,90552,889Explore This Profile
12.Hartford Hospital (CT)0.61$1,614,37637,202Explore This Profile
13.Northwestern Memorial Hospital (IL)0.51$1,590,58143,474Explore This Profile
14.Hackensack University Medical Center (NJ)0.55$1,583,84336,668Explore This Profile
15.St Francis Hospital - The Heart Center (NY)0.44$1,543,21717,066Explore This Profile
16.Lehigh Valley Hospital - Cedar Crest (PA)0.57$1,517,80742,260Explore This Profile
17.Aurora St Lukes Medical Center (WI)0.43$1,504,87442,083Explore This Profile
18.Stony Brook University Hospital (NY)0.47$1,497,69330,709Explore This Profile
19.Robert Wood Johnson University Hospital - New Brunswick (NJ)0.83$1,461,53833,164Explore This Profile
20.Carilion Roanoke Memorial Hospital (VA)0.6$1,435,67937,291Explore This Profile
21.Baptist Memorial Hospital - Memphis (TN)0.51$1,372,17734,151Explore This Profile
22.Baptist Medical Center Jacksonville (FL)0.72$1,345,13148,645Explore This Profile
23.NYU Winthrop Hospital (NY)0.55$1,334,28733,817Explore This Profile
24.University Hospital (VA)0.49$1,304,06229,534Explore This Profile
25.Lee Memorial Hospital (FL)0.53$1,275,33538,166Explore This Profile

Fig 1. Data from Definitive Healthcare based on the CMS Quality Metrics Update, updated Oct 2018.