Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ORLANDO HEALTH ROCKLEDGE HOSPITAL

FL · Facility ID 100092 · FY2026

Total HAC Score

-0.6167

Percentile

15.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.6167

Hospital score -0.6167. 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 -0.880
  • CLABSIz -0.469
  • CAUTIz -1.044
  • SSIz -1.016
  • CDIz -1.036
  • MRSAz 0.746

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-0.8802-0.7172-0.05150.6658
CAUTI-1.0438-0.6625-0.04500.6175
MRSA0.7455-0.9838-0.37010.6137
CDI-1.0362-0.6877-0.07850.6092
CLABSI-0.4693-0.7729-0.16510.6078
SSI-1.0162-0.6901-0.08540.6047

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): 16.7th

Score distributionThreshold 0.3792Hospital -0.6167

Hospital score -0.6167. Penalty threshold 0.3792. Distribution of 165 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 9.1th

Score distributionThreshold 0.3792Hospital -0.6167

Hospital score -0.6167. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.6167; 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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