Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ASCENSION ST VINCENT'S RIVERSIDE

FL · Facility ID 100040 · FY2026

Total HAC Score

-0.1440

Percentile

43.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1440

Hospital score -0.1440. 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 -1.175
  • CLABSIz 0.271
  • CAUTIz -0.417
  • SSIz -0.124
  • CDIz -0.359
  • MRSAz 0.940

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-1.1749-0.19540.47030.6658
CAUTI-0.4171-0.29420.32320.6175
MRSA0.9398-0.54350.07020.6137
CDI-0.3586-0.32790.28130.6092
CLABSI0.2707-0.42350.18430.6078
SSI-0.1238-0.36610.23860.6047

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 FL (165 scored): 54.8th

Score distributionThreshold 0.3792Hospital -0.1440

Hospital score -0.1440. Penalty threshold 0.3792. Distribution of 165 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 40.2th

Score distributionThreshold 0.3792Hospital -0.1440

Hospital score -0.1440. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1440; 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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