Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL

CA · Facility ID 050778 · FY2026

Total HAC Score

-0.5572

Percentile

17.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5572

Hospital score -0.5572. 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-90N/A
  • CLABSIz -0.404
  • CAUTIz -0.157
  • SSIN/A
  • CDIz -0.881
  • MRSAz -0.786

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
CAUTIcontrols fate-0.1567-0.84770.07860.9262
MRSA-0.7864-0.72490.19570.9206
CDI-0.8814-0.70240.21140.9138
CLABSI-0.4043-0.80770.10390.9117

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): 15.0th

Score distributionThreshold 0.3792Hospital -0.5572

Hospital score -0.5572. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 4 reported measures (139 scored): 18.3th

Score distributionThreshold 0.3792Hospital -0.5572

Hospital score -0.5572. Penalty threshold 0.3792. Distribution of 139 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5572; 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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