Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

GOOD SAMARITAN HOSPITAL

IN · Facility ID 150042 · FY2026

Total HAC Score

-0.1149

Percentile

45.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1149

Hospital score -0.1149. 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 -0.643
  • CLABSIz 0.359
  • CAUTIz -0.335
  • SSIz -0.805
  • CDIz 2.193
  • 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-0.6433-0.25490.41090.6658
CAUTI-0.3351-0.27880.33870.6175
MRSA-1.4573-0.11490.49890.6137
CDI2.1931-0.7241-0.11490.6092
CLABSI0.3589-0.40910.19870.6078
SSI-0.8055-0.22340.38130.6047

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): 56.9th

Score distributionThreshold 0.3792Hospital -0.1149

Hospital score -0.1149. Penalty threshold 0.3792. Distribution of 80 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 42.2th

Score distributionThreshold 0.3792Hospital -0.1149

Hospital score -0.1149. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1149; 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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