Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ST VINCENT HOSPITAL

MA · Facility ID 220176 · FY2026

Total HAC Score

-0.2422

Percentile

36.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2422

Hospital score -0.2422. 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 0.872
  • CLABSIz -0.834
  • CAUTIz -1.024
  • SSIz -1.164
  • CDIz 0.501
  • MRSAz 0.196

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 fate0.8717-0.63470.03110.6657
CAUTI-1.0245-0.29120.32630.6175
MRSA0.1958-0.51770.09600.6137
CDI0.5010-0.56940.03980.6092
CLABSI-0.8335-0.33770.27010.6078
SSI-1.1636-0.29100.31370.6047

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): 22.1th

Score distributionThreshold 0.3792Hospital -0.2422

Hospital score -0.2422. Penalty threshold 0.3792. Distribution of 52 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 32.2th

Score distributionThreshold 0.3792Hospital -0.2422

Hospital score -0.2422. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2422; 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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