Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

HCA FLORIDA TRINITY HOSPITAL

FL · Facility ID 100191 · FY2026

Total HAC Score

-0.4239

Percentile

24.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4239

Hospital score -0.4239. 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 -0.910
  • CLABSIz -0.495
  • CAUTIz -0.673
  • SSIz -0.819
  • CDIz -0.699
  • MRSAz 1.053

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-0.9103-0.51950.14630.6657
CAUTI-0.6726-0.53160.08590.6175
MRSA1.0527-0.8423-0.22850.6137
CDI-0.6994-0.55110.05810.6092
CLABSI-0.4948-0.57590.03190.6078
SSI-0.8192-0.53020.07450.6047

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): 36.7th

Score distributionThreshold 0.3792Hospital -0.4239

Hospital score -0.4239. Penalty threshold 0.3792. Distribution of 165 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 19.5th

Score distributionThreshold 0.3792Hospital -0.4239

Hospital score -0.4239. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4239; 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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