Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ST VINCENT MEDICAL CENTER/NORTH

AR · Facility ID 040137 · FY2026

Total HAC Score

-0.1938

Percentile

39.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1938

Hospital score -0.1938. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.564
  • CLABSIz -1.407
  • CAUTIz -0.914
  • SSIN/A
  • CDIz -0.227
  • MRSAz 2.142

Fragility

Each reported measure moves the score by 0.2000 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-0.5635-0.37780.42110.7989
CAUTI-0.9136-0.27480.46620.7410
MRSA2.1415-0.9136-0.17710.7365
CDI-0.2270-0.44090.29020.7311
CLABSI-1.4065-0.19380.53550.7293

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): 37.2th

Score distributionThreshold 0.3792Hospital -0.1938

Hospital score -0.1938. Penalty threshold 0.3792. Distribution of 39 scored hospitals.

Percentile among hospitals with 5 reported measures (220 scored): 39.3th

Score distributionThreshold 0.3792Hospital -0.1938

Hospital score -0.1938. Penalty threshold 0.3792. Distribution of 220 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1938; threshold 0.3792).

Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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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