Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

CENTURA HEALTH-ST ANTHONY HOSPITAL

CO · Facility ID 060015 · FY2026

Total HAC Score

-0.0720

Percentile

48.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0720

Hospital score -0.0720. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

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

  • PSI-90z 0.337
  • CLABSIz -0.490
  • CAUTIz -0.964
  • SSIz -1.343
  • CDIz -0.196
  • MRSAz 2.225

Fragility

Each reported measure moves the score by 0.1667 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 fate0.3365-0.37540.29040.6658
CAUTI-0.9643-0.13110.48640.6175
MRSA2.2251-0.6858-0.07210.6137
CDI-0.1960-0.28310.32610.6092
CLABSI-0.4902-0.22480.38300.6078
SSI-1.3434-0.09090.51380.6047

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): 56.1th

Score distributionThreshold 0.3792Hospital -0.0720

Hospital score -0.0720. Penalty threshold 0.3792. Distribution of 49 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 45.7th

Score distributionThreshold 0.3792Hospital -0.0720

Hospital score -0.0720. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0720; threshold 0.3792).

Reported on 6 of 6 measures; each reported measure moves the equal-weighted score by 0.1667 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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