Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MERCY HOSPITAL NORTHWEST ARKANSAS

AR · Facility ID 040010 · FY2026

Total HAC Score

-0.3273

Percentile

30.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3273

Hospital score -0.3273. 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 -1.483
  • CLABSIz -0.789
  • CAUTIz -0.439
  • SSIz 1.771
  • CDIz -0.076
  • MRSAz -0.947

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-1.4834-0.32740.33840.6657
CAUTI-0.4388-0.47400.14350.6175
MRSA-0.9473-0.41240.20140.6137
CDI-0.0760-0.55840.05080.6092
CLABSI-0.7894-0.43020.17760.6078
SSI1.7708-0.8652-0.26050.6047

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 AR (39 scored): 32.1th

Score distributionThreshold 0.3792Hospital -0.3273

Hospital score -0.3273. Penalty threshold 0.3792. Distribution of 39 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 26.0th

Score distributionThreshold 0.3792Hospital -0.3273

Hospital score -0.3273. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3273; 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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