Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ADVENTHEALTH DELAND

FL · Facility ID 100045 · FY2026

Total HAC Score

-0.2920

Percentile

32.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2920

Hospital score -0.2920. 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 0.946
  • CLABSIz -1.058
  • CAUTIz -0.892
  • SSIz -0.764
  • CDIz -0.676
  • MRSAz 0.693

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 fate0.9456-0.6969-0.03110.6658
CAUTI-0.8920-0.36310.25430.6175
MRSA0.6932-0.6505-0.03670.6137
CDI-0.6761-0.42310.18620.6092
CLABSI-1.0585-0.35000.25770.6078
SSI-0.7644-0.40740.19730.6047

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): 44.5th

Score distributionThreshold 0.3792Hospital -0.2920

Hospital score -0.2920. Penalty threshold 0.3792. Distribution of 165 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 28.7th

Score distributionThreshold 0.3792Hospital -0.2920

Hospital score -0.2920. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2920; 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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