Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

CHI ST. VINCENT HOSPITAL HOT SPRINGS

AR · Facility ID 040026 · FY2026

Total HAC Score

-0.7337

Percentile

11.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7337

Hospital score -0.7337. 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 -0.689
  • CLABSIz -0.940
  • CAUTIz -1.210
  • SSIz -0.571
  • CDIz -1.125
  • MRSAz 0.133

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-0.6891-0.8661-0.20040.6658
CAUTI-1.2101-0.7518-0.13440.6175
MRSA0.1331-0.9988-0.38510.6137
CDI-1.1253-0.7899-0.18070.6092
CLABSI-0.9402-0.8115-0.20370.6078
SSI-0.5709-0.8814-0.27670.6047

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): 16.7th

Score distributionThreshold 0.3792Hospital -0.7337

Hospital score -0.7337. Penalty threshold 0.3792. Distribution of 39 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 5.7th

Score distributionThreshold 0.3792Hospital -0.7337

Hospital score -0.7337. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7337; 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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