Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL

MI · Facility ID 230302 · FY2026

Total HAC Score

-0.3287

Percentile

30.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3287

Hospital score -0.3287. 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 0.969
  • CAUTIz -1.319
  • SSIz -0.281
  • CDIz -0.618
  • MRSAz 0.760

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-1.4834-0.32870.33700.6657
CAUTI-1.3186-0.32870.28870.6175
MRSA0.7601-0.6983-0.08460.6137
CDI-0.6181-0.46940.13980.6092
CLABSI0.9690-0.7247-0.11690.6078
SSI-0.2814-0.52460.08010.6047

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 MI (88 scored): 24.4th

Score distributionThreshold 0.3792Hospital -0.3287

Hospital score -0.3287. Penalty threshold 0.3792. Distribution of 88 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 25.7th

Score distributionThreshold 0.3792Hospital -0.3287

Hospital score -0.3287. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3287; 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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