Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

← All audits

Hospital audit

ENCINO HOSPITAL MEDICAL CENTER

CA · Facility ID 050158 · FY2026

Total HAC Score

-0.6552

Percentile

14.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.6552

Hospital score -0.6552. 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 -0.299
  • CLABSIz -1.407
  • CAUTIz 0.911
  • SSIN/A
  • CDIz -1.025
  • MRSAz -1.457

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-0.2987-0.8921-0.09320.7989
CAUTI0.9111-1.1011-0.36020.7410
MRSA-1.4573-0.65520.08130.7365
CDI-1.0246-0.7427-0.01170.7311
CLABSI-1.4065-0.65520.07410.7293

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 CA (277 scored): 11.7th

Score distributionThreshold 0.3792Hospital -0.6552

Hospital score -0.6552. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 5 reported measures (220 scored): 16.6th

Score distributionThreshold 0.3792Hospital -0.6552

Hospital score -0.6552. Penalty threshold 0.3792. Distribution of 220 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.6552; 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.

Scan a hospital system →