Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

WESTSIDE REGIONAL MEDICAL CENTER

FL · Facility ID 100228 · FY2026

Total HAC Score

-0.9469

Percentile

4.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.9469

Hospital score -0.9469. 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 -0.570
  • CLABSIz -1.172
  • CAUTIz -1.041
  • SSIz -0.955
  • CDIz -1.276
  • MRSAz -0.667

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-0.5695-1.0992-0.43350.6657
CAUTI-1.0414-0.9931-0.37560.6175
MRSA-0.6673-1.0786-0.46480.6137
CDI-1.2763-0.9779-0.36870.6092
CLABSI-1.1722-0.9859-0.37810.6078
SSI-0.9546-1.0305-0.42580.6047

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): 7.0th

Score distributionThreshold 0.3792Hospital -0.9469

Hospital score -0.9469. Penalty threshold 0.3792. Distribution of 165 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 1.8th

Score distributionThreshold 0.3792Hospital -0.9469

Hospital score -0.9469. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.9469; 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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