Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ST MARY-CORWIN HOSPITAL

CO · Facility ID 060012 · FY2026

Total HAC Score

-0.2777

Percentile

33.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2777

Hospital score -0.2777. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 3 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.296
  • CLABSIN/A
  • CAUTIN/A
  • SSIz -0.996
  • CDIz 0.458
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.3333 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-0.2959-0.67360.65791.3315
CDI0.4584-0.91790.30051.2184
SSI-0.9957-0.43130.77811.2094

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 CO (49 scored): 35.7th

Score distributionThreshold 0.3792Hospital -0.2777

Hospital score -0.2777. Penalty threshold 0.3792. Distribution of 49 scored hospitals.

Percentile among hospitals with 3 reported measures (196 scored): 40.1th

Score distributionThreshold 0.3792Hospital -0.2777

Hospital score -0.2777. Penalty threshold 0.3792. Distribution of 196 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2777; threshold 0.3792).

Reported on 3 of 6 measures; each reported measure moves the equal-weighted score by 0.3333 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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