Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

L A DOWNTOWN MEDICAL CENTER

CA · Facility ID 050763 · FY2026

Total HAC Score

-0.0475

Percentile

49.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0475

Hospital score -0.0475. 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 -1.099
  • CLABSIN/A
  • CAUTIz -1.319
  • SSIImputedz 2.172
  • CDIz 0.056
  • MRSAN/A

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-1.0988-0.14360.85500.9986
CAUTI-1.3186-0.04750.87870.9262
CDI0.0557-0.42700.48690.9138
SSI2.1717-0.9546-0.04750.9071

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.

Imputation exposure

1 reported measure carry footnote 18 (imputed). Compare as-scored vs measured-only mean.

As scored
-0.0475
Measured only
-0.7872
  • SSI imputed

Peer context

Percentile within CA (277 scored): 47.8th

Score distributionThreshold 0.3792Hospital -0.0475

Hospital score -0.0475. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 4 reported measures (139 scored): 47.8th

Score distributionThreshold 0.3792Hospital -0.0475

Hospital score -0.0475. Penalty threshold 0.3792. Distribution of 139 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0475; threshold 0.3792).

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

1 reported measure(s) are imputed (footnote 18). As-scored -0.0475 vs measured-only -0.7872 — both compared to threshold 0.3792 as a mechanics illustration only.

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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