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 NORTH HEALTH CAMPUS

CO · Facility ID 060104 · FY2026

Total HAC Score

-0.4541

Percentile

23.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4541

Hospital score -0.4541. 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 -1.077
  • CLABSIz -0.082
  • CAUTIz -0.579
  • SSIz 0.662
  • CDIz -0.192
  • MRSAz -1.457

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 fate-1.0775-0.52180.14390.6657
CAUTI-0.5786-0.57750.04000.6175
MRSA-1.4573-0.45410.15960.6137
CDI-0.1921-0.6658-0.05660.6092
CLABSI-0.0819-0.6749-0.06710.6078
SSI0.6625-0.8073-0.20260.6047

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): 21.4th

Score distributionThreshold 0.3792Hospital -0.4541

Hospital score -0.4541. Penalty threshold 0.3792. Distribution of 49 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 17.9th

Score distributionThreshold 0.3792Hospital -0.4541

Hospital score -0.4541. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4541; 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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