rcm glossary

Hospital-acquired condition (HAC)

Hospital-acquired condition (HAC) is a medical condition that a patient develops during their hospital stay, which was not present at admission.

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What is Hospital-Acquired Condition (HAC)?

Hospital-acquired conditions (HACs) refer to medical conditions or complications that patients acquire during their stay in a healthcare facility, such as a hospital. These conditions are not present or developing at the time of admission and are generally considered preventable with appropriate care and infection control measures. HACs can range from infections to injuries and can have a significant impact on patient outcomes, healthcare costs, and reimbursement for healthcare providers.

HACs are also commonly known as healthcare-associated infections (HAIs) or nosocomial infections. However, it is important to note that while HACs often include infections, they encompass a broader range of conditions that can occur due to various factors within a healthcare setting.

Difference between Hospital-Acquired Condition (HAC) and Healthcare-Associated Infection (HAI)

While the terms "Hospital-Acquired Condition" (HAC) and "Healthcare-Associated Infection" (HAI) are often used interchangeably, there is a subtle difference between the two. HACs encompass a broader range of conditions that can occur in a healthcare setting, including infections as well as non-infectious complications. On the other hand, HAIs specifically refer to infections acquired during a patient's stay in a healthcare facility.

HAIs are a subset of HACs and are caused by various microorganisms, including bacteria, viruses, fungi, and parasites. These infections can be transmitted through direct contact, airborne droplets, contaminated surfaces, medical devices, or even healthcare personnel. Common examples of HAIs include surgical site infections, urinary tract infections, bloodstream infections, and pneumonia.

Examples of Hospital-Acquired Conditions (HACs)

1. Central Line-Associated Bloodstream Infections (CLABSIs):

CLABSIs occur when bacteria or other pathogens enter the bloodstream through a central venous catheter. These infections can lead to serious complications and are often associated with prolonged hospital stays, increased healthcare costs, and higher mortality rates.

2. Catheter-Associated Urinary Tract Infections (CAUTIs):

CAUTIs are infections that develop in patients with urinary catheters. These infections can cause discomfort, pain, and potentially life-threatening complications. CAUTIs are one of the most common types of HACs and can be prevented through proper catheter care and timely removal.

3. Surgical Site Infections (SSIs):

SSIs are infections that occur at the site of a surgical incision. They can lead to delayed wound healing, prolonged hospital stays, and increased healthcare costs. SSIs can be caused by bacteria present on the patient's skin, in the surgical environment, or introduced during the surgical procedure.

4. Pressure Ulcers:

Pressure ulcers, also known as bedsores or pressure sores, are localized injuries to the skin and underlying tissue. They typically develop over bony prominences due to prolonged pressure, friction, or shear forces. Pressure ulcers can be particularly problematic for patients with limited mobility and can increase the risk of infection and other complications.

5. Ventilator-Associated Pneumonia (VAP):

VAP is a type of pneumonia that develops in patients who are on mechanical ventilation. It occurs when bacteria or other pathogens enter the lungs through the ventilator system. VAP can significantly increase the length of hospital stay, morbidity, and mortality rates among critically ill patients.

These are just a few examples of HACs, and there are numerous other conditions that can be acquired during a hospital stay. It is crucial for healthcare providers to implement preventive measures, such as strict infection control protocols, proper hygiene practices, and evidence-based guidelines, to minimize the occurrence of HACs and improve patient safety.

In conclusion, hospital-acquired conditions (HACs) encompass a wide range of medical conditions or complications that patients acquire during their stay in a healthcare facility. While HACs often include healthcare-associated infections (HAIs), they also include non-infectious complications. Preventing HACs is essential for improving patient outcomes, reducing healthcare costs, and ensuring appropriate reimbursement for healthcare providers.

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