> For the complete documentation index, see [llms.txt](https://docs.dataplex-consulting.com/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://docs.dataplex-consulting.com/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/deficit-reduction-act-hospital-acquired-condition-measures.md).

# Deficit Reduction Act Hospital-Acquired Condition Measures

Part of the [CMS Data Feeds Dataset](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog.md) › Medicare

Dataplex delivers this CMS feed as the analysis-ready table `DWV.DEFICIT_REDUCTION_ACT_HOSPITALACQUIRED_CONDITION_MEASURES` on Snowflake and Databricks — 11 annual reporting periods (2015–2025) aligned to a single schema, refreshed automatically whenever CMS publishes a new file. Every row carries lineage back to the exact CMS source file that produced it.

## Key facts

|                    |                                                                     |
| ------------------ | ------------------------------------------------------------------- |
| **Snowflake**      | `DWV.DEFICIT_REDUCTION_ACT_HOSPITALACQUIRED_CONDITION_MEASURES`     |
| **Databricks**     | `cms_dwv.deficit_reduction_act_hospitalacquired_condition_measures` |
| **Coverage**       | Jan 2015 – Dec 2025 (11 of 11 annual reporting periods)             |
| **Rows**           | 140,772 (total across all reporting periods)                        |
| **Cadence**        | Annual                                                              |
| **Update pattern** | Time-partitioned — each file adds one reporting year                |
| **CMS published**  | 2025-09-04                                                          |
| **Loaded**         | 2025-09-04                                                          |
| **Columns**        | 6 data + 6 lineage                                                  |
| **File versions**  | 11                                                                  |
| **License**        | CMS public data — U.S. Government work                              |
| **Platforms**      | Snowflake Marketplace · Databricks Delta Sharing                    |

Included in the CMS Data Feeds Dataset — [start a free trial on Snowflake Marketplace](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset).

{% hint style="success" %}
**Current** — CMS last published this feed on 2025-09-04. Coverage is complete through the 2025 reporting year. Next CMS release expected \~Sep 2026.
{% endhint %}

{% hint style="info" %}
**Time-partitioned feed** — each file version covers one reporting year, so history is additive. Query the full table for all years; filter on the reporting period columns for a single period. Do **not** filter to the latest file only — that would return just the 2025 reporting year.
{% endhint %}

## Sample queries

{% tabs %}
{% tab title="Snowflake" %}

```sql
-- Each file version covers one reporting period — history is additive
SELECT *
FROM DWV.DEFICIT_REDUCTION_ACT_HOSPITALACQUIRED_CONDITION_MEASURES
LIMIT 100;
```

{% endtab %}

{% tab title="Databricks" %}

```sql
-- Each file version covers one reporting period — history is additive
SELECT *
FROM cms_dwv.deficit_reduction_act_hospitalacquired_condition_measures
LIMIT 100;
```

{% endtab %}
{% endtabs %}

## About this feed

> The Publicly Reported Deficit Reduction Act (DRA) Hospital-Acquired Condition (HAC) Measures data provides information on hospital-level measures rates for four of the HACs included in the DRA HAC payment provision – foreign object retained after surgery, blood incompatibility, air embolism, and falls and trauma – for Medicare fee-for-service discharges. The Publicly Reported DRA HAC Measures are reported only for informational and quality improvement purposes; the results of the measure calculations do not affect payment and are not a part of the HAC Reduction Program.
>
> — *Source: CMS feed metadata*

**Keywords:** Medicare, Original Medicare, Health Care Use & Payments, Safety of Care **Theme:** Medicare

## Coverage timeline

2015–2025 🟩🟩🟩🟩🟩🟩🟩🟩🟩🟩🟩 (🟩 covered · ⬜ no data)

11 of 11 annual reporting periods present — no gaps.

## Release history

| Reporting period        | CMS published | Loaded     | Latest file |
| ----------------------- | ------------- | ---------- | ----------- |
| 2025-01-01 – 2025-12-31 | 2025-09-04    | 2025-09-04 | ✓           |
| 2024-01-01 – 2024-12-31 | 2024-08-29    | 2024-08-29 |             |
| 2023-01-01 – 2023-12-31 | 2023-08-29    | 2023-08-30 |             |
| 2022-01-01 – 2022-12-31 | 2022-09-26    | 2023-08-29 |             |
| 2021-01-01 – 2021-12-31 | 2021-09-20    | 2023-08-29 |             |
| 2020-01-01 – 2020-12-31 | 2021-05-20    | 2023-08-29 |             |
| 2019-01-01 – 2019-12-31 | 2020-10-08    | 2023-08-29 |             |
| 2018-01-01 – 2018-12-31 | 2020-10-08    | 2023-08-29 |             |
| 2017-01-01 – 2017-12-31 | 2020-10-08    | 2023-08-29 |             |
| 2016-01-01 – 2016-12-31 | 2020-10-08    | 2023-08-29 |             |

<details>

<summary>Show 1 earlier file version</summary>

| Reporting period        | CMS published | Loaded     | Latest file |
| ----------------------- | ------------- | ---------- | ----------- |
| 2015-01-01 – 2015-12-31 | 2020-10-08    | 2023-08-29 |             |

</details>

## Data dictionary

<details>

<summary>📋 <strong>6 data columns + 6 lineage columns</strong></summary>

Column-level definitions are maintained by CMS in the official [Deficit Reduction Act Hospital-Acquired Condition Measures data dictionary](https://data.cms.gov/resources/deficit-reduction-act-dra-hospital-acquired-condition-hac-measures-data-dictionary).

**Data columns**

| Column          | Type   |
| --------------- | ------ |
| `PROVIDER_ID`   | NUMBER |
| `MEASURE`       | TEXT   |
| `RATE`          | NUMBER |
| `FOOTNOTE`      | NUMBER |
| `START_QUARTER` | TEXT   |
| `END_QUARTER`   | TEXT   |

**Lineage columns** (present on every feed table)

| Column         | Type           | Description                                  |
| -------------- | -------------- | -------------------------------------------- |
| `ROW_ID`       | TEXT           | Unique row ID for this table (PK)            |
| `FILE_ID`      | TEXT           | Source file — joins to `FEEDS_FILES.ID` (FK) |
| `FILE_FEED_ID` | TEXT           | Parent feed — joins to `FEEDS.ID` (FK)       |
| `FILE_NAME`    | TEXT           | Source file name as published by CMS         |
| `ROWNUM`       | NUMBER         | Row number within the source file            |
| `CREATED_AT`   | TIMESTAMP\_NTZ | Timestamp when the record was loaded         |

</details>

## Row-level lineage

Every row in this table traces to the exact CMS source file that produced it. The `FILE_ID` column joins to the `FEEDS_FILES` catalog table, and `FILE_FEED_ID` joins to the `FEEDS` master table:

```mermaid
erDiagram
    FEEDS ||--o{ FEEDS_FILES : "ID = FEED_ID"
    FEEDS ||--o{ DEFICIT_REDUCTION_ACT_HOSPITALACQUIRED_CONDITION_MEASURES : "ID = FILE_FEED_ID"
    FEEDS_FILES ||--o{ DEFICIT_REDUCTION_ACT_HOSPITALACQUIRED_CONDITION_MEASURES : "ID = FILE_ID"

    FEEDS {
        text ID PK
        text TITLE
        text VIEW_NAME
        text ACCURAL_PERIODICITY
    }
    FEEDS_FILES {
        text ID PK
        text FEED_ID FK
        date TEMPORAL_START
        date TEMPORAL_END
        date CMS_FEED_MODIFIED
        number IS_LATEST
    }
    DEFICIT_REDUCTION_ACT_HOSPITALACQUIRED_CONDITION_MEASURES {
        text ROW_ID PK
        text FILE_ID FK
        text FILE_FEED_ID FK
        number PROVIDER_ID
        text MEASURE
        number RATE
        number FOOTNOTE
        number remaining_2_data_columns
    }
```

Trace any row back to its source file and reporting period:

```sql
SELECT d.PROVIDER_ID, d.MEASURE, d.RATE,
       ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED
FROM DWV.DEFICIT_REDUCTION_ACT_HOSPITALACQUIRED_CONDITION_MEASURES d
JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID;
```

## Source & provenance

Published by the **Centers for Medicare & Medicaid Services** (bureau 009:38).

* [Official CMS data dictionary](https://data.cms.gov/resources/deficit-reduction-act-dra-hospital-acquired-condition-hac-measures-data-dictionary)
* [Deficit Reduction Act Dra Hospital Acquired Condition Hac Measures Methodology](https://data.cms.gov/resources/deficit-reduction-act-dra-hospital-acquired-condition-hac-measures-methodology)

## Frequently asked questions

### How often is Deficit Reduction Act Hospital-Acquired Condition Measures updated?

Annually. CMS last published this feed on 2025-09-04, and Dataplex loaded it to the warehouse the same day. New releases are added automatically when CMS publishes them.

### What years does Deficit Reduction Act Hospital-Acquired Condition Measures cover?

2015 through 2025 — 11 annual reporting periods with no gaps. Each reporting year arrives as its own file version, and all years remain queryable side by side.

### How many records are in Deficit Reduction Act Hospital-Acquired Condition Measures?

140,772 rows across all 11 reporting periods. Because this feed is time-partitioned, the full table total is the meaningful count — no deduplication needed.

### How do I get Deficit Reduction Act Hospital-Acquired Condition Measures data?

It's included in the CMS Data Feeds Dataset on the [Snowflake Marketplace](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset) (free trial available) and via [Databricks Delta Sharing](https://checkout.dataplex-consulting.com/b/3cIdR2e1J59Sh2w7pWbQY00). Once mounted, query `DWV.DEFICIT_REDUCTION_ACT_HOSPITALACQUIRED_CONDITION_MEASURES` directly — no pipeline setup required.

## Related feeds

{% content-ref url="/pages/L2n46aQRfTFGoVfmbf0I" %}
[Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator 11 (PSI-11) Measure Rates](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/agency-for-healthcare-research-and-quality-ahrq-patient-safety-indicator-11-psi-11-measure-rates.md)
{% endcontent-ref %}

{% content-ref url="/pages/vSHuyZ1yd8hv11QUlJFL" %}
[Medicare Post-Acute Care and Hospice - by Geography & Provider](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/medicare-post-acute-care-and-hospice-by-geography-provider.md)
{% endcontent-ref %}

{% content-ref url="/pages/T4w8Iold4mu27PCDN72G" %}
[Medicare Inpatient Hospitals - by Geography and Service](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/medicare-inpatient-hospitals-by-geography-and-service.md)
{% endcontent-ref %}

{% content-ref url="/pages/MrXKeZnI8w3SkNJ0SBme" %}
[Medicare Post-Acute Care Utilization - Inpatient Rehabilitation Facility](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/medicare-post-acute-care-utilization-inpatient-rehabilitation-facility.md)
{% endcontent-ref %}

{% content-ref url="/pages/RfpLx2SjPM0RJp04R3y4" %}
[Provider of Services File - Clinical Laboratories](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/provider-of-services-file-clinical-laboratories.md)
{% endcontent-ref %}

## Get this feed

1. [Start a free trial on Snowflake Marketplace](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset) or purchase via [Databricks](https://checkout.dataplex-consulting.com/b/3cIdR2e1J59Sh2w7pWbQY00)
2. Mount the share — the database and `DWV` schema appear in your account immediately
3. Run the [sample query](#sample-queries) above — no ETL, no pipeline maintenance

Questions about this feed? Contact us at <notifications@dataplex-consulting.com>.

***

Part of the [CMS Data Feeds Dataset](/data-catalog/cms-data-feeds-dataset.md) — 280+ feeds · 245B+ records · updated daily. [Back to the full catalog →](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog.md#deficit-reduction-act-hospital-acquired-condition-measures)


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