Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ST. VINCENT'S EAST

AL · Facility ID 010011 · FY2026

Total HAC Score

-0.0474

Percentile

49.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0474

Hospital score -0.0474. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 6 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z 0.361
  • CLABSIz 1.050
  • CAUTIz -0.579
  • SSIz -1.456
  • CDIz 0.350
  • MRSAz -0.011

Fragility

Each reported measure moves the score by 0.1667 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate0.3613-0.35490.31090.6658
CAUTI-0.5786-0.17080.44670.6175
MRSA-0.0111-0.28850.32520.6137
CDI0.3500-0.34950.25970.6092
CLABSI1.0502-0.45690.15090.6078
SSI-1.4565-0.04740.55720.6047

Swing is a mechanics illustration: replace one reported Z with that measure’s observed floor or cap while holding others fixed. Ranked by absolute swing.

Peer context

Percentile within AL (68 scored): 40.4th

Score distributionThreshold 0.3792Hospital -0.0474

Hospital score -0.0474. Penalty threshold 0.3792. Distribution of 68 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 47.6th

Score distributionThreshold 0.3792Hospital -0.0474

Hospital score -0.0474. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0474; threshold 0.3792).

Reported on 6 of 6 measures; each reported measure moves the equal-weighted score by 0.1667 points.

Describes scoring mechanics only. Not medical or legal advice. Any “would / would not” language is an illustration against the published threshold, not a CMS prediction.

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