HAC

kshumpertkshumpert
in Clinical & Coding

Let me preface with the acknowledgement that I don't review HACs anymore.  In  situation where a patient develops a HAC solely due to the patient's refusal for treatment or non-compliance, how are you vetting those? 

Comments

  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    If the patient develops a HAC due to their own noncompliance, it must be reported as a HAC.  I am not sure what you may mean by ‘vetting’ in such instances.   There are workflows pertaining to HAC/PSI that can be found in a recent publication released by ACDIS.  It may be helpful to you?  As part of the workflow regarding HACS,  we have the chart reviewed by a clinician with expertise who will compare the findings and documentation to standard criteria, either confirming the HAC or recommending that a clinical validation query be implemented.  If such cases that a patient’s lack of cooperation leads to the HAC, progress notes should reflect those circumstances as well as the abstraction data and notes made by members of the quality review team.

    P. Evans, RHIA, CCDS
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