Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

PIEDMONT HENRY HOSPITAL

GA · Facility ID 110191 · FY2026

Total HAC Score

-0.2326

Percentile

36.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2326

Hospital score -0.2326. 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 -0.796
  • CLABSIz -0.254
  • CAUTIz -0.000
  • SSIz 1.093
  • CDIz -0.877
  • MRSAz -0.561

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-0.7964-0.34710.31860.6658
CAUTI-0.0001-0.45240.16510.6175
MRSA-0.5607-0.38210.23170.6137
CDI-0.8775-0.33010.27910.6092
CLABSI-0.2535-0.42480.18300.6078
SSI1.0925-0.6574-0.05270.6047

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): 29.8th

Score distributionThreshold 0.3792Hospital -0.2326

Hospital score -0.2326. Penalty threshold 0.3792. Distribution of 89 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 32.7th

Score distributionThreshold 0.3792Hospital -0.2326

Hospital score -0.2326. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2326; 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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