Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

PIH HEALTH DOWNEY HOSPITAL

CA · Facility ID 050393 · FY2026

Total HAC Score

-0.4866

Percentile

21.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4866

Hospital score -0.4866. 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 -0.855
  • CLABSIz 0.616
  • CAUTIz -1.319
  • SSIz -1.456
  • CDIz 0.149
  • MRSAz -0.055

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-0.8545-0.59140.07430.6657
CAUTI-1.3186-0.48660.13090.6175
MRSA-0.0549-0.7203-0.10660.6137
CDI0.1486-0.7551-0.14580.6092
CLABSI0.6164-0.8237-0.21600.6078
SSI-1.4565-0.48660.11810.6047

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): 19.3th

Score distributionThreshold 0.3792Hospital -0.4866

Hospital score -0.4866. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 15.5th

Score distributionThreshold 0.3792Hospital -0.4866

Hospital score -0.4866. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4866; 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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