Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

PALOMAR HEALTH DOWNTOWN CAMPUS

CA · Facility ID 050115 · FY2026

Total HAC Score

-0.0878

Percentile

47.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0878

Hospital score -0.0878. 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 -0.278
  • CLABSIz 0.220
  • CAUTIz 0.766
  • SSIz -0.158
  • CDIz -0.026
  • MRSAz -1.052

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-0.2777-0.28880.37700.6657
CAUTI0.7665-0.43530.18210.6175
MRSA-1.0518-0.15540.45830.6137
CDI-0.0256-0.32730.28200.6092
CLABSI0.2197-0.35890.24890.6078
SSI-0.1580-0.30420.30050.6047

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): 44.8th

Score distributionThreshold 0.3792Hospital -0.0878

Hospital score -0.0878. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 44.2th

Score distributionThreshold 0.3792Hospital -0.0878

Hospital score -0.0878. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0878; 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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