Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

SAINT JOSEPH REGIONAL MEDICAL CENTER

IN · Facility ID 150012 · FY2026

Total HAC Score

-0.2685

Percentile

34.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2685

Hospital score -0.2685. 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 0.907
  • CLABSIz -0.344
  • CAUTIz -0.964
  • SSIz -0.204
  • CDIz -0.161
  • MRSAz -0.845

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 fate0.9074-0.6670-0.00130.6658
CAUTI-0.9643-0.32760.28990.6175
MRSA-0.8449-0.37060.24310.6137
CDI-0.1611-0.48540.12380.6092
CLABSI-0.3440-0.44560.16220.6078
SSI-0.2043-0.47720.12750.6047

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): 38.1th

Score distributionThreshold 0.3792Hospital -0.2685

Hospital score -0.2685. Penalty threshold 0.3792. Distribution of 80 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 30.3th

Score distributionThreshold 0.3792Hospital -0.2685

Hospital score -0.2685. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2685; 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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