Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

WEST ANAHEIM MEDICAL CENTER

CA · Facility ID 050426 · FY2026

Total HAC Score

-0.5188

Percentile

19.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5188

Hospital score -0.5188. 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 -1.313
  • CLABSIz -0.994
  • CAUTIz -0.118
  • SSIz -1.456
  • CDIz -1.187
  • MRSAz 1.956

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-1.3127-0.54720.11850.6657
CAUTI-0.1182-0.7189-0.10140.6175
MRSA1.9555-1.0876-0.47390.6137
CDI-1.1872-0.56460.04460.6092
CLABSI-0.9936-0.58760.02020.6078
SSI-1.4565-0.51880.08590.6047

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): 17.5th

Score distributionThreshold 0.3792Hospital -0.5188

Hospital score -0.5188. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 13.6th

Score distributionThreshold 0.3792Hospital -0.5188

Hospital score -0.5188. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5188; 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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