Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ST CLOUD HOSPITAL

MN · Facility ID 240036 · FY2026

Total HAC Score

-0.0284

Percentile

51.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0284

Hospital score -0.0284. 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 -1.045
  • CLABSIz 0.691
  • CAUTIz -0.183
  • SSIz 0.255
  • CDIz 0.807
  • MRSAz -0.694

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-1.0449-0.10150.56430.6658
CAUTI-0.1833-0.21760.39990.6175
MRSA-0.6944-0.15550.45820.6137
CDI0.8069-0.40660.20260.6092
CLABSI0.6906-0.37790.22990.6078
SSI0.2548-0.31360.29110.6047

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 MN (45 scored): 52.2th

Score distributionThreshold 0.3792Hospital -0.0284

Hospital score -0.0284. Penalty threshold 0.3792. Distribution of 45 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 49.1th

Score distributionThreshold 0.3792Hospital -0.0284

Hospital score -0.0284. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0284; 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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