Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

HOAG MEMORIAL HOSPITAL PRESBYTERIAN

CA · Facility ID 050224 · FY2026

Total HAC Score

-0.2416

Percentile

36.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2416

Hospital score -0.2416. 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 -0.016
  • CLABSIz -0.576
  • CAUTIz -0.523
  • SSIz -0.023
  • CDIz 0.567
  • MRSAz -0.878

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-0.0160-0.48610.17960.6657
CAUTI-0.5231-0.37410.24330.6175
MRSA-0.8784-0.33800.27570.6137
CDI0.5668-0.57970.02950.6092
CLABSI-0.5760-0.38000.22780.6078
SSI-0.0227-0.48050.12420.6047

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): 34.8th

Score distributionThreshold 0.3792Hospital -0.2416

Hospital score -0.2416. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 32.2th

Score distributionThreshold 0.3792Hospital -0.2416

Hospital score -0.2416. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2416; 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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