Potentially preventable events are encounters, which could be prevented, that lead to unnecessary services or contribute to poor quality of care. They are described below. The Distinguishing PPE Programs Chart (PDF) will help distinguish the different program areas that run these metrics.
- Potentially preventable emergency room visit: Emergency treatment for a condition that could have been treated or prevented by a physician or other health care provider in a nonemergency setting.
- Potentially preventable hospital readmission: A return hospitalization, within a set time, that might have resulted from problems in care during a previous hospital stay or from deficiencies in a post-hospital discharge follow-up.
- Potentially preventable hospital admission: A hospital admission or long-term care facility stay that might have been reasonably prevented with adequate access to ambulatory care or health care coordination.
- Potentially preventable complication: A harmful event or negative outcome, such as an infection or surgical complication, that occurs after a hospital admission or an LTC facility stay and might have resulted from care, lack of care or treatment during the admission or stay.
Hospital Quality-based Payment Program
Texas Health and Human Services collects data on potentially preventable events and uses it to improve quality and efficiency.
Managed care organizations and hospitals are financially accountable for potentially preventable complications and potentially preventable readmissions flagged by HHS.
Based on performance for these measures, adjustments are made to fee-for-service hospital inpatient claims. Similar adjustments are made in each MCO’s experience data, which affects capitation rates. The data for fiscal years 2019–2023 (mid-year) is displayed in the folders below. The data for previous fiscal years through 2018 can be requested by emailing the PPR PPC Coordination Team.
Announcements
- June 1, 2024 – FY 2023 Analysis (PDF)
- August 18, 2023 – FY 2023 Mid-year Analysis (PDF)
- May 22, 2023 – FY 2022 Analysis (PDF)
- May 10, 2022 – FY2021 Analysis and Stakeholder Meetings (PDF)
Resources
- Texas Administrative Code, Title 1, Part 15, Chapter 354, Subchapter A, Division 35, Reimbursement Adjustments for Potentially Preventable Events
- Methodology Overview PPR (PDF)
- Methodology Overview PPC (PDF)
- Risk Adjustment Methods and Calculations for PPR and PPC (PDF)
- 3M All-Patient Refined Web Portal (Please email the PPR PPC Coordination Team to request login access.)
- Guide to navigate the 3M Portal (PDF)
Fiscal Year 2024 Mid-Year
Note: This reporting period is for informational purposes only and not associated with any reimbursement reductions.
- FY 2024 mid-year Technical Notes PPR (PDF)
- FY 2024 mid-year Technical Notes PPC (PDF)
- FY 2024 mid-year Grouper 40 APR-DRG Effective 10/1/2023 (Excel): Used to calculate PPR weights
- FY 2024 mid-year PPC Weights Version 41 (Excel): Used to calculate PPC weights
FY 2024 mid-year Texas Scaling Factor = 1.48351 (to account for Texas and the national average) - FY 2024 mid-year State Norm File PPR (Excel)
- FY 2024 mid-year State Norm File PPC (Excel)
Fiscal Year 2023
- FY 2023 Hospital-Level Reporting Template PPR (PDF)
- FY 2023 Hospital-Level Reporting Template PPC (PDF)
- FY 2023 Technical Notes PPR (PDF)
- FY 2023 Technical Notes PPC (PDF)
- FY 2023 Grouper 40 APR-DRG Effective 10/1/2023 (Excel): Used to calculate PPR weights (Note: Reimbursement reductions were assessed using unweighted PPR results.)
- FY 2023 PPC Weights Version 40 (Excel): Used to calculate PPC Weights
FY 2023 Texas Scaling Factor = 1.4849 (to account for Texas and the national average in PPC calculations) - FY 2023 Statewide Data File PPR (Excel)
- FY 2023 Statewide Data File PPC (Excel)
- FY 2023 State Norm File PPR (Excel)
- FY 2023 State Norm File PPC (Excel)
Fiscal Year 2023 Mid-Year
Note: This reporting period is for informational purposes only and not associated with any reimbursement reductions.
- FY 2023 mid-year Technical Notes PPR (PDF)
- FY 2023 mid-year Technical Notes PPC (PDF)
- FY 2023 mid-year Grouper 38 APR-DRG Effective 10/1/2022 (Excel): Used to calculate PPR weights
- FY 2023 mid-year PPC Weights Version 40 (Excel): Used to calculate PPC weights
FY 2023 mid-year Texas Scaling Factor = 1.42163 (to account for Texas and the national average) - FY 2023 mid-year State Norm File PPR (Excel)
- FY 2023 mid-year State Norm File PPC (Excel)
Fiscal Year 2022
- FY 2022 Hospital-Level Reporting Template PPR (PDF)
- FY 2022 Hospital-Level Reporting Template PPC (PDF)
- FY 2022 Technical Notes PPR (PDF)
- FY 2022 Technical Notes PPC (PDF)
- FY 2022 Grouper 38 APR-DRG Effective 10/1/2021 (Excel): Used to calculate PPR weights (Note: Reimbursement reductions were assessed using unweighted PPR results.)
- FY 2022 PPC Weights Version 39 (Excel): Used to calculate PPC Weights
FY 2022 Texas Scaling Factor = 1.4349 (to account for Texas and the national average in PPC calculations) - FY 2022 Statewide Data File PPR (Excel)
- FY 2022 Statewide Data File PPC (Excel)
- FY 2022 State Norm File PPR (Excel)
- FY 2022 State Norm File PPC (Excel)
Fiscal Year 2022 Mid-Year
Note: This reporting period is for informational purposes only and not associated with any reimbursement reductions.
- FY 2022 mid-year Technical Notes PPR (PDF)
- FY 2022 mid-year Technical Notes PPC (PDF)
- FY 2022 mid-year Grouper 38 APR-DRG Effective 10/1/2021 (Excel): Used to calculate PPR weights
- FY 2022 mid-year PPC Weights Version 38 (Excel): Used to calculate PPC weights
FY 2022 mid-year Texas Scaling Factor = 1.48528 (to account for Texas and the national average) - FY 2022 mid-year State Norm File PPR (Excel)
- FY 2022 mid-year State Norm File PPC (Excel)
Fiscal Year 2021
- FY 2021 Hospital-Level Reporting Template PPR (PDF)
- FY 2021 Hospital-Level Reporting Template PPC (PDF)
- FY 2021 Technical Notes PPR (PDF)
- FY 2021 Technical Notes PPC (PDF)
- FY 2021 Grouper 38 APR-DRG Effective 10/1/2021 (Excel): Used to calculate PPR weights (Note: Reimbursement reductions were assessed using unweighted PPR results.)
- FY 2021 PPC Weights Version 38 (Excel): Used to calculate PPC Weights
FY 2021 Texas Scaling Factor = 1.4528 (To account for Texas and the national average in PPC calculations) - FY 2021 Statewide Data File PPR (Excel)
- FY 2021 Statewide Data File PPC (Excel)
- FY 2021 State Norm File PPR (Excel)
- FY 2021 State Norm File PPC (Excel)
Fiscal Year 2021 Mid-Year
Note: This reporting period is for informational purposes only and not associated with any reimbursement reductions.
- FY 2021 mid-year Technical Notes PPR (PDF)
- FY 2021 mid-year Technical Notes PPC (PDF)
- FY 2021 mid-year Grouper 38 APR-DRG Effective 10/1/2020 (Excel): Used to calculate PPR weights
- FY 2021 mid-year PPC Weights Version 38 (Excel): Used to calculate PPC weights
FY 2021 mid-year Texas Scaling Factor = 1.74098 (to account for Texas and the national average) - FY 2021 mid-year State Norm File PPR (Excel)
- FY 2021 mid-year State Norm File PPC (Excel)
Fiscal Year 2020
- FY 2020 Hospital-Level Reporting Template PPR (PDF)
- FY 2020 Hospital-Level Reporting Template PPC (PDF)
- FY 2020 Technical Notes PPR (PDF)
- FY 2020 Technical Notes PPC (PDF)
- FY 2020 Grouper 38 APR-DRG Effective 10/1/2020 (Excel): Used to calculate PPR weights (Note: Reimbursement reductions were assessed using unweighted PPR results.)
- FY 2020 PPC Weights Version 38 (Excel): Used to calculate PPC Weights
FY 2020 Texas Scaling Factor = 1.7216 (to account for Texas and the national average in PPC calculations) - FY 2020 Statewide Data File PPR (Excel)
- FY 2020 Statewide Data File PPC (Excel)
- FY 2020 State Norm File PPR (Excel)
- FY 2020 State Norm File PPC (Excel)
Data
- Remaining performance data can be found at Texas Healthcare Learning Collaborative.
Hospital Quality-Based Payment Program Stakeholder Meetings
June 16, 2022, Kickoff Meeting
May 24, 2023, Stakeholder Meeting
Webinars
Jan. 30, 2018, Hospital Quality-Based PPR PPC Refresher
Note: For an accessible version or more information, please email the PPR PPC Coordination Team.