Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

UCHEALTH HIGHLANDS RANCH HOSPITAL

CO · Facility ID 060132 · FY2026

Total HAC Score

-0.5996

Percentile

15.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5996

Hospital score -0.5996. 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 -1.483
  • CLABSIz 0.579
  • CAUTIz -0.369
  • SSIz -0.737
  • CDIz -0.130
  • 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-1.4834-0.59960.06620.6657
CAUTI-0.3689-0.7579-0.14040.6175
MRSA-1.4573-0.59960.01410.6137
CDI-0.1302-0.8216-0.21240.6092
CLABSI0.5793-0.9306-0.32280.6078
SSI-0.7370-0.7195-0.11480.6047

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): 13.3th

Score distributionThreshold 0.3792Hospital -0.5996

Hospital score -0.5996. Penalty threshold 0.3792. Distribution of 49 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 9.4th

Score distributionThreshold 0.3792Hospital -0.5996

Hospital score -0.5996. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5996; 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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