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 LONDON

KY · Facility ID 180011 · FY2026

Total HAC Score

-0.3937

Percentile

26.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3937

Hospital score -0.3937. 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 0.838
  • CLABSIz -1.407
  • CAUTIz -0.410
  • SSIz -0.413
  • CDIz -0.924
  • MRSAz -0.047

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 fate0.8382-0.7806-0.11490.6657
CAUTI-0.4099-0.54510.07240.6175
MRSA-0.0466-0.6288-0.01510.6137
CDI-0.9239-0.48340.12580.6092
CLABSI-1.4065-0.39370.21410.6078
SSI-0.4133-0.56750.03720.6047

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): 17.0th

Score distributionThreshold 0.3792Hospital -0.3937

Hospital score -0.3937. Penalty threshold 0.3792. Distribution of 56 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 21.3th

Score distributionThreshold 0.3792Hospital -0.3937

Hospital score -0.3937. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3937; 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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