Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

PARK NICOLLET METHODIST HOSPITAL

MN · Facility ID 240053 · FY2026

Total HAC Score

-0.2966

Percentile

32.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2966

Hospital score -0.2966. 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 0.472
  • CLABSIz -0.377
  • CAUTIz 0.200
  • SSIz -0.495
  • CDIz -0.122
  • MRSAz -1.457

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 fate0.4723-0.62250.04320.6658
CAUTI0.2000-0.54970.06780.6175
MRSA-1.4573-0.29660.31720.6137
CDI-0.1224-0.51990.08930.6092
CLABSI-0.3765-0.46820.13960.6078
SSI-0.4955-0.45670.14800.6047

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): 23.3th

Score distributionThreshold 0.3792Hospital -0.2966

Hospital score -0.2966. Penalty threshold 0.3792. Distribution of 45 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 28.2th

Score distributionThreshold 0.3792Hospital -0.2966

Hospital score -0.2966. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2966; 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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