Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

FAIRVIEW LAKES HEALTH SERVICES

MN · Facility ID 240050 · FY2026

Total HAC Score

-0.1441

Percentile

43.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1441

Hospital score -0.1441. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 3 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.144
  • CLABSIN/A
  • CAUTIN/A
  • SSIz 0.760
  • CDIz -1.048
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.3333 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-0.1445-0.59030.74121.3315
CDI-1.0478-0.28220.93631.2184
SSI0.7602-0.88290.32651.2094

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): 36.7th

Score distributionThreshold 0.3792Hospital -0.1441

Hospital score -0.1441. Penalty threshold 0.3792. Distribution of 45 scored hospitals.

Percentile among hospitals with 3 reported measures (196 scored): 47.2th

Score distributionThreshold 0.3792Hospital -0.1441

Hospital score -0.1441. Penalty threshold 0.3792. Distribution of 196 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1441; threshold 0.3792).

Reported on 3 of 6 measures; each reported measure moves the equal-weighted score by 0.3333 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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