Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO

CA · Facility ID 050140 · FY2026

Total HAC Score

-0.1190

Percentile

44.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1190

Hospital score -0.1190. 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 -0.100
  • CLABSIz -0.455
  • CAUTIz 0.046
  • SSIz 0.303
  • CDIz 0.195
  • MRSAz -0.703

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-0.0997-0.34970.31610.6657
CAUTI0.0457-0.34640.27100.6175
MRSA-0.7028-0.24480.36890.6137
CDI0.1951-0.39530.21390.6092
CLABSI-0.4554-0.27760.33020.6078
SSI0.3028-0.41230.19240.6047

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): 42.1th

Score distributionThreshold 0.3792Hospital -0.1190

Hospital score -0.1190. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 42.0th

Score distributionThreshold 0.3792Hospital -0.1190

Hospital score -0.1190. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1190; 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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