Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

EDEN MEDICAL CENTER

CA · Facility ID 050488 · FY2026

Total HAC Score

-0.5847

Percentile

16.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5847

Hospital score -0.5847. 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 -1.227
  • CLABSIz 0.020
  • CAUTIz -0.644
  • SSIz -0.321
  • CDIz -1.276
  • MRSAz -0.061

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-1.2266-0.62750.03820.6657
CAUTI-0.6437-0.6972-0.07970.6175
MRSA-0.0612-0.8174-0.20370.6137
CDI-1.2763-0.6157-0.00650.6092
CLABSI0.0202-0.8225-0.21470.6078
SSI-0.3208-0.7740-0.16930.6047

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): 13.5th

Score distributionThreshold 0.3792Hospital -0.5847

Hospital score -0.5847. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 10.1th

Score distributionThreshold 0.3792Hospital -0.5847

Hospital score -0.5847. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5847; 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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