Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

THE GENERAL

LA · Facility ID 190316 · FY2026

Total HAC Score

-1.2888

Percentile

1.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -1.2888

Hospital score -1.2888. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 3 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90N/A
  • CLABSIN/A
  • CAUTIz -1.319
  • SSIN/A
  • CDIz -1.090
  • MRSAz -1.457

Fragility

Each reported measure moves the score by 0.3333 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
CAUTIcontrols fate-1.3186-1.2888-0.05381.2350
MRSA-1.4573-1.2888-0.06131.2275
CDI-1.0904-1.4127-0.19431.2184

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 LA (76 scored): 2.0th

Score distributionThreshold 0.3792Hospital -1.2888

Hospital score -1.2888. Penalty threshold 0.3792. Distribution of 76 scored hospitals.

Percentile among hospitals with 3 reported measures (196 scored): 1.3th

Score distributionThreshold 0.3792Hospital -1.2888

Hospital score -1.2888. Penalty threshold 0.3792. Distribution of 196 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -1.2888; threshold 0.3792).

Reported on 3 of 6 measures; each reported measure moves the equal-weighted score by 0.3333 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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