Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

PIEDMONT COLUMBUS REGIONAL NORTHSIDE

GA · Facility ID 110200 · FY2026

Total HAC Score

-0.7252

Percentile

12.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7252

Hospital score -0.7252. 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 -0.733
  • CLABSIz -0.687
  • CAUTIz 0.111
  • SSIz -0.122
  • CDIz -1.462
  • MRSAz -1.457

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-0.7334-0.8502-0.18450.6657
CAUTI0.1108-0.9635-0.34600.6175
MRSA-1.4573-0.7252-0.11150.6137
CDI-1.4622-0.7252-0.11600.6092
CLABSI-0.6873-0.8451-0.23730.6078
SSI-0.1220-0.9476-0.34300.6047

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): 12.9th

Score distributionThreshold 0.3792Hospital -0.7252

Hospital score -0.7252. Penalty threshold 0.3792. Distribution of 89 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 6.2th

Score distributionThreshold 0.3792Hospital -0.7252

Hospital score -0.7252. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7252; 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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