Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ST JOSEPH HOSPITAL

ME · Facility ID 200001 · FY2026

Total HAC Score

-0.0463

Percentile

49.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0463

Hospital score -0.0463. 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 0.482
  • CLABSIz -0.212
  • CAUTIz 0.482
  • SSIz -1.068
  • CDIz -0.088
  • MRSAz 0.125

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 fate0.4825-0.37390.29180.6658
CAUTI0.4820-0.34640.27110.6175
MRSA0.1248-0.31000.30380.6137
CDI-0.0876-0.27540.33380.6092
CLABSI-0.2118-0.24540.36240.6078
SSI-1.0676-0.11110.49360.6047

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 ME (13 scored): 34.6th

Score distributionThreshold 0.3792Hospital -0.0463

Hospital score -0.0463. Penalty threshold 0.3792. Distribution of 13 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 47.8th

Score distributionThreshold 0.3792Hospital -0.0463

Hospital score -0.0463. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0463; 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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