Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

AHMC SETON MEDICAL CENTER

CA · Facility ID 050289 · FY2026

Total HAC Score

-0.1096

Percentile

45.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1096

Hospital score -0.1096. 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 -0.538
  • CLABSIz -1.407
  • CAUTIz 0.026
  • SSIz -1.456
  • CDIz 1.093
  • MRSAz 1.623

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-0.5378-0.26720.39850.6658
CAUTI0.0265-0.33380.28370.6175
MRSA1.6232-0.6230-0.00930.6137
CDI1.0934-0.53550.07370.6092
CLABSI-1.4065-0.10960.49820.6078
SSI-1.4565-0.10960.49510.6047

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): 43.5th

Score distributionThreshold 0.3792Hospital -0.1096

Hospital score -0.1096. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 42.7th

Score distributionThreshold 0.3792Hospital -0.1096

Hospital score -0.1096. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1096; 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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