Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

SAINT MARY'S HOSPITAL

CT · Facility ID 070016 · FY2026

Total HAC Score

-0.3660

Percentile

28.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3660

Hospital score -0.3660. 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 0.011
  • CLABSIz -0.704
  • CAUTIz -0.513
  • SSIz -0.501
  • CDIz -0.297
  • MRSAz -0.193

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 fate0.0115-0.61510.05060.6658
CAUTI-0.5135-0.50010.11730.6175
MRSA-0.1929-0.57670.03700.6137
CDI-0.2967-0.56020.04900.6092
CLABSI-0.7036-0.48310.12470.6078
SSI-0.5006-0.52530.07940.6047

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 CT (25 scored): 38.0th

Score distributionThreshold 0.3792Hospital -0.3660

Hospital score -0.3660. Penalty threshold 0.3792. Distribution of 25 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 23.0th

Score distributionThreshold 0.3792Hospital -0.3660

Hospital score -0.3660. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3660; 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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