Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ADVENTIST HEALTH WHITE MEMORIAL

CA · Facility ID 050103 · FY2026

Total HAC Score

-0.2254

Percentile

37.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2254

Hospital score -0.2254. 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 -0.177
  • CLABSIz -0.745
  • CAUTIz 1.215
  • SSIz -0.812
  • CDIz -0.765
  • MRSAz -0.068

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-0.1768-0.44320.22260.6658
CAUTI1.2148-0.6476-0.03010.6175
MRSA-0.0675-0.45700.15670.6137
CDI-0.7652-0.34160.26760.6092
CLABSI-0.7453-0.33560.27220.6078
SSI-0.8124-0.33270.27200.6047

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 CA (277 scored): 35.9th

Score distributionThreshold 0.3792Hospital -0.2254

Hospital score -0.2254. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 33.5th

Score distributionThreshold 0.3792Hospital -0.2254

Hospital score -0.2254. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2254; 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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