Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ST BERNARD HOSPITAL

IL · Facility ID 140103 · FY2026

Total HAC Score

-0.1496

Percentile

42.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1496

Hospital score -0.1496. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.280
  • CLABSIz 0.178
  • CAUTIz 0.357
  • SSIN/A
  • CDIz 0.455
  • MRSAz -1.457

Fragility

Each reported measure moves the score by 0.2000 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-0.2801-0.39030.40860.7989
CAUTI0.3567-0.48470.25630.7410
MRSA-1.4573-0.14970.58680.7365
CDI0.4545-0.53300.19810.7311
CLABSI0.1779-0.46650.26280.7293

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 IL (112 scored): 38.8th

Score distributionThreshold 0.3792Hospital -0.1496

Hospital score -0.1496. Penalty threshold 0.3792. Distribution of 112 scored hospitals.

Percentile among hospitals with 5 reported measures (220 scored): 43.4th

Score distributionThreshold 0.3792Hospital -0.1496

Hospital score -0.1496. Penalty threshold 0.3792. Distribution of 220 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1496; threshold 0.3792).

Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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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