Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

USA HEALTH HCA PROVIDENCE HOSPITAL, LLC

AL · Facility ID 010090 · FY2026

Total HAC Score

-0.1868

Percentile

39.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1868

Hospital score -0.1868. 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 0.803
  • CLABSIz 0.721
  • CAUTIz -0.779
  • SSIz -1.099
  • CDIz -0.699
  • MRSAz -0.068

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 fate0.8027-0.56780.09800.6657
CAUTI-0.7787-0.27670.34070.6175
MRSA-0.0675-0.41840.19530.6137
CDI-0.6994-0.31390.29530.6092
CLABSI0.7208-0.54130.06650.6078
SSI-1.0985-0.24640.35830.6047

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): 37.5th

Score distributionThreshold 0.3792Hospital -0.1868

Hospital score -0.1868. Penalty threshold 0.3792. Distribution of 68 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 36.8th

Score distributionThreshold 0.3792Hospital -0.1868

Hospital score -0.1868. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1868; 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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