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 HOSPITAL

KY · Facility ID 180010 · FY2026

Total HAC Score

-0.2718

Percentile

34.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2718

Hospital score -0.2718. 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 2.511
  • CLABSIz -0.787
  • CAUTIz -1.041
  • SSIz -1.134
  • CDIz -0.773
  • MRSAz -0.406

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 fate2.5111-0.9375-0.27180.6657
CAUTI-1.0414-0.31800.29950.6175
MRSA-0.4060-0.44700.16670.6137
CDI-0.7729-0.38670.22250.6092
CLABSI-0.7871-0.37500.23280.6078
SSI-1.1344-0.32550.27920.6047

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 KY (56 scored): 25.9th

Score distributionThreshold 0.3792Hospital -0.2718

Hospital score -0.2718. Penalty threshold 0.3792. Distribution of 56 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 30.1th

Score distributionThreshold 0.3792Hospital -0.2718

Hospital score -0.2718. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2718; 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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