Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MAT-SU REGIONAL MEDICAL CENTER

AK · Facility ID 020006 · FY2026

Total HAC Score

-0.8863

Percentile

6.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.8863

Hospital score -0.8863. 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 0.055
  • CLABSIz -1.407
  • CAUTIz -0.955
  • SSIz -1.456
  • CDIz -1.094
  • MRSAz -0.460

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 fate0.0547-1.1426-0.47690.6658
CAUTI-0.9546-0.9469-0.32950.6175
MRSA-0.4604-1.0524-0.43870.6137
CDI-1.0943-0.9476-0.33840.6092
CLABSI-1.4065-0.8863-0.27850.6078
SSI-1.4565-0.8863-0.28160.6047

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 AK (8 scored): 18.8th

Score distributionThreshold 0.3792Hospital -0.8863

Hospital score -0.8863. Penalty threshold 0.3792. Distribution of 8 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 2.7th

Score distributionThreshold 0.3792Hospital -0.8863

Hospital score -0.8863. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.8863; 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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