Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

UNIVERSITY HOSPITAL AND MEDICAL CENTER

FL · Facility ID 100224 · FY2026

Total HAC Score

-0.4357

Percentile

24.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4357

Hospital score -0.4357. 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 -0.944
  • CLABSIz 1.421
  • CAUTIz -1.319
  • SSIz 0.368
  • CDIz -0.684
  • MRSAz -1.457

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-0.9435-0.52570.14010.6657
CAUTI-1.3186-0.43570.18180.6175
MRSA-1.4573-0.43570.17800.6137
CDI-0.6839-0.56540.04380.6092
CLABSI1.4213-0.9070-0.29920.6078
SSI0.3679-0.7398-0.13510.6047

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): 34.8th

Score distributionThreshold 0.3792Hospital -0.4357

Hospital score -0.4357. Penalty threshold 0.3792. Distribution of 165 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 19.0th

Score distributionThreshold 0.3792Hospital -0.4357

Hospital score -0.4357. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4357; 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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