Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

COMMUNITY HOSPITAL EAST

IN · Facility ID 150074 · FY2026

Total HAC Score

-0.5251

Percentile

18.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5251

Hospital score -0.5251. 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 -0.726
  • CLABSIz -0.177
  • CAUTIz -0.097
  • SSIz -0.564
  • CDIz -0.684
  • MRSAz -0.903

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-0.7257-0.65140.01440.6658
CAUTI-0.0965-0.7288-0.11130.6175
MRSA-0.9034-0.6174-0.00370.6137
CDI-0.6839-0.6548-0.04560.6092
CLABSI-0.1770-0.7300-0.12220.6078
SSI-0.5640-0.6738-0.06910.6047

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): 20.6th

Score distributionThreshold 0.3792Hospital -0.5251

Hospital score -0.5251. Penalty threshold 0.3792. Distribution of 80 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 12.9th

Score distributionThreshold 0.3792Hospital -0.5251

Hospital score -0.5251. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5251; 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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