Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

WILLIAM W BACKUS HOSPITAL

CT · Facility ID 070024 · FY2026

Total HAC Score

-0.7782

Percentile

9.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7782

Hospital score -0.7782. 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 -0.386
  • CAUTIz -0.783
  • SSIz -0.886
  • CDIz -1.199
  • MRSAz 0.068

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-1.4834-0.7782-0.11250.6657
CAUTI-0.7835-0.8674-0.24990.6175
MRSA0.0684-1.0325-0.41880.6137
CDI-1.1989-0.8221-0.21290.6092
CLABSI-0.3858-0.9483-0.34050.6078
SSI-0.8860-0.8733-0.26860.6047

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): 14.0th

Score distributionThreshold 0.3792Hospital -0.7782

Hospital score -0.7782. Penalty threshold 0.3792. Distribution of 25 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 4.7th

Score distributionThreshold 0.3792Hospital -0.7782

Hospital score -0.7782. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7782; 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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