Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

EAST LOS ANGELES DOCTORS HOSPITAL

CA · Facility ID 050641 · FY2026

Total HAC Score

-0.7472

Percentile

11.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7472

Hospital score -0.7472. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 4 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.203
  • CLABSIN/A
  • CAUTIz -1.319
  • SSIN/A
  • CDIz -0.010
  • MRSAz -1.457

Fragility

Each reported measure moves the score by 0.2500 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-0.2027-1.0674-0.06870.9986
CAUTI-1.3186-0.74720.17900.9262
MRSA-1.4573-0.74720.17340.9206
CDI-0.0101-1.1102-0.19640.9138

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): 9.9th

Score distributionThreshold 0.3792Hospital -0.7472

Hospital score -0.7472. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 4 reported measures (139 scored): 10.4th

Score distributionThreshold 0.3792Hospital -0.7472

Hospital score -0.7472. Penalty threshold 0.3792. Distribution of 139 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7472; threshold 0.3792).

Reported on 4 of 6 measures; each reported measure moves the equal-weighted score by 0.2500 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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