Title 42, The Public Health and WelfareRelease 119-110

§280j–3 Quality Improvement Program for Hospitals with a High Severity Adjusted Readmission Rate

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER II — GENERAL POWERS AND DUTIES › Part S — Health Care Quality Programs › subpart i — national strategy for quality improvement in health care › § 280j–3

Last updated Sep 22, 2026|Official source

Summary

Create a program, no later than 2 years after March 23, 2010, that helps certain hospitals lower patient readmission rates by working with patient safety organizations. Eligible hospitals are those the Secretary finds have high risk‑adjusted readmission rates for the conditions listed in 42 U.S.C. 1395ww(q)(8)(A) and have not taken appropriate steps to reduce those readmissions, based on their past high rates. The Secretary must use risk adjustment to decide which hospitals qualify. As the Secretary requires, qualifying hospitals and the patient safety organizations they work with must report to the Secretary what steps they used to try to cut readmissions and how those steps affected readmission rates. Patient safety organizations are outside groups that help hospitals study and improve safety.

Full Legal Text

Title 42, §280j–3

The Public Health and Welfare, Source: USLM XML via OLRC

(a)Establishment
(1)In general
Not later than 2 years after March 23, 2010, the Secretary shall make available a program for eligible hospitals to improve their readmission rates through the use of patient safety organizations (as defined in section 299b–21(4) of this title).
(2)Eligible hospital defined
In this subsection, the term “eligible hospital” means a hospital that the Secretary determines has a high rate of risk adjusted readmissions for the conditions described in section 1395ww(q)(8)(A) of this title and has not taken appropriate steps to reduce such readmissions and improve patient safety as evidenced through historically high rates of readmissions, as determined by the Secretary.
(3)Risk adjustment
The Secretary shall utilize appropriate risk adjustment measures to determine eligible hospitals.
(b)Report to the Secretary
As determined appropriate by the Secretary, eligible hospitals and patient safety organizations working with those hospitals shall report to the Secretary on the processes employed by the hospital to improve readmission rates and the impact of such processes on readmission rates.

Reference

Citations & Metadata

Citation

42 U.S.C. § 280j–3

Title 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110