Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ALLEN HOSPITAL

IA · Facility ID 160110 · FY2026

Total HAC Score

-0.1674

Percentile

41.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1674

Hospital score -0.1674. 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 0.758
  • CLABSIz 0.584
  • CAUTIz -0.627
  • SSIz -0.749
  • CDIz 0.002
  • MRSAz -0.972

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 fate0.7585-0.54100.12470.6658
CAUTI-0.6268-0.28270.33480.6175
MRSA-0.9724-0.24820.36550.6137
CDI0.0015-0.41130.19790.6092
CLABSI0.5839-0.49910.10870.6078
SSI-0.7490-0.28530.31940.6047

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 IA (30 scored): 21.7th

Score distributionThreshold 0.3792Hospital -0.1674

Hospital score -0.1674. Penalty threshold 0.3792. Distribution of 30 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 38.5th

Score distributionThreshold 0.3792Hospital -0.1674

Hospital score -0.1674. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1674; 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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