Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

WELLSTAR PAULDING MEDICAL CENTER

GA · Facility ID 110042 · FY2026

Total HAC Score

-0.0620

Percentile

48.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0620

Hospital score -0.0620. 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 -0.157
  • CLABSIz -1.019
  • CAUTIz 0.263
  • SSIz -0.155
  • CDIz -0.250
  • MRSAz 0.946

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-0.1566-0.28310.38270.6658
CAUTI0.2627-0.32550.29200.6175
MRSA0.9461-0.46250.15120.6137
CDI-0.2502-0.26390.34530.6092
CLABSI-1.0191-0.12650.48130.6078
SSI-0.1546-0.27890.32580.6047

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): 38.8th

Score distributionThreshold 0.3792Hospital -0.0620

Hospital score -0.0620. Penalty threshold 0.3792. Distribution of 89 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 46.4th

Score distributionThreshold 0.3792Hospital -0.0620

Hospital score -0.0620. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0620; 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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