Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

PHOEBE PUTNEY MEMORIAL HOSPITAL

GA · Facility ID 110007 · FY2026

Total HAC Score

-0.2007

Percentile

38.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2007

Hospital score -0.2007. 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 2.107
  • CLABSIz -0.045
  • CAUTIz -0.752
  • SSIz -1.307
  • CDIz -1.210
  • MRSAz 0.004

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 fate2.1073-0.7991-0.13330.6657
CAUTI-0.7521-0.29510.32240.6175
MRSA0.0036-0.44410.16960.6137
CDI-1.2105-0.24260.36660.6092
CLABSI-0.0448-0.42760.18020.6078
SSI-1.3074-0.22550.37920.6047

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 GA (89 scored): 33.1th

Score distributionThreshold 0.3792Hospital -0.2007

Hospital score -0.2007. Penalty threshold 0.3792. Distribution of 89 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 35.4th

Score distributionThreshold 0.3792Hospital -0.2007

Hospital score -0.2007. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2007; 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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