Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

WESTERN ARIZONA REGIONAL MEDICAL CENTER

AZ · Facility ID 030101 · FY2026

Total HAC Score

-0.8268

Percentile

7.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.8268

Hospital score -0.8268. 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 -1.077
  • CLABSIz -1.407
  • CAUTIz -0.841
  • SSIz -1.456
  • CDIz -0.335
  • MRSAz 0.156

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 fate-1.0772-0.8945-0.22870.6657
CAUTI-0.8413-0.9063-0.28890.6175
MRSA0.1561-1.0957-0.48200.6137
CDI-0.3354-1.0146-0.40540.6092
CLABSI-1.4065-0.8268-0.21900.6078
SSI-1.4565-0.8268-0.22210.6047

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): 7.4th

Score distributionThreshold 0.3792Hospital -0.8268

Hospital score -0.8268. Penalty threshold 0.3792. Distribution of 61 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 3.8th

Score distributionThreshold 0.3792Hospital -0.8268

Hospital score -0.8268. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.8268; 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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