Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

CHANDLER REGIONAL MEDICAL CENTER

AZ · Facility ID 030036 · FY2026

Total HAC Score

-0.1918

Percentile

39.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1918

Hospital score -0.1918. 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 0.575
  • CLABSIz -0.771
  • CAUTIz -0.456
  • SSIz -0.956
  • CDIz -0.033
  • MRSAz 0.490

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 fate0.5750-0.53490.13090.6657
CAUTI-0.4557-0.33560.28190.6175
MRSA0.4905-0.51640.09730.6137
CDI-0.0334-0.42990.17930.6092
CLABSI-0.7709-0.29770.31000.6078
SSI-0.9563-0.27520.32950.6047

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 AZ (61 scored): 35.2th

Score distributionThreshold 0.3792Hospital -0.1918

Hospital score -0.1918. Penalty threshold 0.3792. Distribution of 61 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 36.2th

Score distributionThreshold 0.3792Hospital -0.1918

Hospital score -0.1918. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1918; 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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