Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

HENDRICKS REGIONAL HEALTH

IN · Facility ID 150005 · FY2026

Total HAC Score

-0.3589

Percentile

28.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3589

Hospital score -0.3589. 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 -1.136
  • CLABSIz -0.581
  • CAUTIz 0.072
  • SSIz -0.184
  • CDIz 1.132
  • 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-1.1359-0.41680.24900.6658
CAUTI0.0723-0.59070.02680.6175
MRSA-1.4573-0.35880.25490.6137
CDI1.1321-0.7912-0.18200.6092
CLABSI-0.5806-0.49650.11130.6078
SSI-0.1837-0.57100.03370.6047

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 IN (80 scored): 30.6th

Score distributionThreshold 0.3792Hospital -0.3589

Hospital score -0.3589. Penalty threshold 0.3792. Distribution of 80 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 23.4th

Score distributionThreshold 0.3792Hospital -0.3589

Hospital score -0.3589. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3589; 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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