Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

LAKE CUMBERLAND REGIONAL HOSPITAL

KY · Facility ID 180132 · FY2026

Total HAC Score

-0.2727

Percentile

34.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2727

Hospital score -0.2727. 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 -0.837
  • CLABSIz -1.079
  • CAUTIz -0.839
  • SSIz 1.269
  • CDIz -0.622
  • MRSAz 0.472

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-0.8368-0.38050.28530.6658
CAUTI-0.8389-0.35270.26480.6175
MRSA0.4717-0.59420.01950.6137
CDI-0.6219-0.41280.19640.6092
CLABSI-1.0794-0.32720.28050.6078
SSI1.2689-0.7270-0.12230.6047

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): 24.1th

Score distributionThreshold 0.3792Hospital -0.2727

Hospital score -0.2727. Penalty threshold 0.3792. Distribution of 56 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 30.0th

Score distributionThreshold 0.3792Hospital -0.2727

Hospital score -0.2727. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2727; 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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