Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER

AZ · Facility ID 030121 · FY2026

Total HAC Score

-0.4955

Percentile

20.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4955

Hospital score -0.4955. 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 -1.316
  • CLABSIz -0.261
  • CAUTIz -0.564
  • SSIz -0.744
  • CDIz -1.137
  • MRSAz 1.048

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-1.3162-0.52340.14240.6657
CAUTI-0.5641-0.6213-0.00380.6175
MRSA1.0485-0.9132-0.29940.6137
CDI-1.1369-0.54970.05950.6092
CLABSI-0.2605-0.6865-0.07870.6078
SSI-0.7439-0.6143-0.00960.6047

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): 23.8th

Score distributionThreshold 0.3792Hospital -0.4955

Hospital score -0.4955. Penalty threshold 0.3792. Distribution of 61 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 15.0th

Score distributionThreshold 0.3792Hospital -0.4955

Hospital score -0.4955. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4955; 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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