Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MARION GENERAL HOSPITAL

IN · Facility ID 150011 · FY2026

Total HAC Score

-0.1248

Percentile

44.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1248

Hospital score -0.1248. 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 1.251
  • CLABSIz 0.605
  • CAUTIz -1.319
  • SSIz -1.456
  • CDIz 0.296
  • MRSAN/A

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 fate1.2506-0.67160.12730.7989
CAUTI-1.3186-0.12480.61620.7410
CDI0.2958-0.47640.25470.7311
CLABSI0.6048-0.52700.20230.7293
SSI-1.4565-0.12480.60090.7256

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): 55.6th

Score distributionThreshold 0.3792Hospital -0.1248

Hospital score -0.1248. Penalty threshold 0.3792. Distribution of 80 scored hospitals.

Percentile among hospitals with 5 reported measures (220 scored): 44.3th

Score distributionThreshold 0.3792Hospital -0.1248

Hospital score -0.1248. Penalty threshold 0.3792. Distribution of 220 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1248; 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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