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

IN · Facility ID 150125 · FY2026

Total HAC Score

-0.0384

Percentile

50.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0384

Hospital score -0.0384. 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 0.049
  • CLABSIz -0.831
  • CAUTIz 0.176
  • SSIz 0.364
  • CDIz 0.029
  • MRSAz -0.017

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 fate0.0493-0.29380.37190.6657
CAUTI0.1759-0.28750.33000.6175
MRSA-0.0173-0.27840.33530.6137
CDI0.0286-0.28680.32240.6092
CLABSI-0.8312-0.13430.47350.6078
SSI0.3644-0.34190.26280.6047

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): 61.9th

Score distributionThreshold 0.3792Hospital -0.0384

Hospital score -0.0384. Penalty threshold 0.3792. Distribution of 80 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 48.4th

Score distributionThreshold 0.3792Hospital -0.0384

Hospital score -0.0384. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0384; 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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