Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

FAIRVIEW PARK HOSPITAL

GA · Facility ID 110125 · FY2026

Total HAC Score

-1.1197

Percentile

2.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -1.1197

Hospital score -1.1197. 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 -0.854
  • CLABSIz -1.407
  • CAUTIz -1.319
  • SSIz -0.946
  • CDIz -1.400
  • MRSAz -0.793

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-0.8544-1.2246-0.55880.6658
CAUTI-1.3186-1.1197-0.50220.6175
MRSA-0.7927-1.2305-0.61680.6137
CDI-1.4002-1.1301-0.52090.6092
CLABSI-1.4065-1.1197-0.51190.6078
SSI-0.9460-1.2048-0.60010.6047

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): 6.2th

Score distributionThreshold 0.3792Hospital -1.1197

Hospital score -1.1197. Penalty threshold 0.3792. Distribution of 89 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 0.6th

Score distributionThreshold 0.3792Hospital -1.1197

Hospital score -1.1197. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -1.1197; 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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