Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

GULF COAST MEDICAL CENTER LEE HEALTH

FL · Facility ID 100220 · FY2026

Total HAC Score

-0.2871

Percentile

33.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2871

Hospital score -0.2871. 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 0.639
  • CLABSIz -0.179
  • CAUTIz -1.200
  • SSIz -0.290
  • CDIz -0.297
  • MRSAz -0.396

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 fate0.6392-0.64090.02480.6657
CAUTI-1.2005-0.30680.31070.6175
MRSA-0.3956-0.46410.14960.6137
CDI-0.2967-0.48140.12780.6092
CLABSI-0.1793-0.49170.11610.6078
SSI-0.2899-0.48160.12310.6047

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): 45.2th

Score distributionThreshold 0.3792Hospital -0.2871

Hospital score -0.2871. Penalty threshold 0.3792. Distribution of 165 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 28.8th

Score distributionThreshold 0.3792Hospital -0.2871

Hospital score -0.2871. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2871; 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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