Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

NEWTON-WELLESLEY HOSPITAL

MA · Facility ID 220101 · FY2026

Total HAC Score

-0.2052

Percentile

38.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2052

Hospital score -0.2052. 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 -1.483
  • CLABSIz 0.025
  • CAUTIz 1.557
  • SSIz -0.728
  • CDIz 0.245
  • MRSAz -0.847

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-1.4834-0.20530.46050.6658
CAUTI1.5571-0.6845-0.06710.6175
MRSA-0.8470-0.30700.30680.6137
CDI0.2454-0.48990.11940.6092
CLABSI0.0248-0.44380.16400.6078
SSI-0.7284-0.32660.27810.6047

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 MA (52 scored): 26.0th

Score distributionThreshold 0.3792Hospital -0.2052

Hospital score -0.2052. Penalty threshold 0.3792. Distribution of 52 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 35.0th

Score distributionThreshold 0.3792Hospital -0.2052

Hospital score -0.2052. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2052; 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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