Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

PALI MOMI MEDICAL CENTER

HI · Facility ID 120026 · FY2026

Total HAC Score

-0.2614

Percentile

34.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2614

Hospital score -0.2614. 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 -1.371
  • CLABSIz 0.944
  • CAUTIz -1.319
  • SSIz 0.474
  • CDIz -0.827
  • MRSAz 0.530

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-1.3706-0.28020.38550.6658
CAUTI-1.3186-0.26140.35610.6175
MRSA0.5302-0.59270.02110.6137
CDI-0.8271-0.36730.24190.6092
CLABSI0.9435-0.6531-0.04530.6078
SSI0.4741-0.58320.02150.6047

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 HI (11 scored): 13.6th

Score distributionThreshold 0.3792Hospital -0.2614

Hospital score -0.2614. Penalty threshold 0.3792. Distribution of 11 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 30.8th

Score distributionThreshold 0.3792Hospital -0.2614

Hospital score -0.2614. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2614; 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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