Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MENIFEE GLOBAL MEDICAL CENTER

CA · Facility ID 050684 · FY2026

Total HAC Score

-0.4495

Percentile

23.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4495

Hospital score -0.4495. 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 -0.149
  • CLABSIN/A
  • CAUTIz -1.319
  • SSIN/A
  • CDIz -0.754
  • MRSAz 0.424

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-0.1493-0.78300.21560.9986
CAUTI-1.3186-0.44950.47680.9262
MRSA0.4236-0.91970.00090.9206
CDI-0.7536-0.62660.28720.9138

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): 23.3th

Score distributionThreshold 0.3792Hospital -0.4495

Hospital score -0.4495. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 4 reported measures (139 scored): 26.3th

Score distributionThreshold 0.3792Hospital -0.4495

Hospital score -0.4495. Penalty threshold 0.3792. Distribution of 139 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4495; 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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