Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

FAIRVIEW NORTHLAND REGIONAL HOSPITAL

MN · Facility ID 240141 · FY2026

Total HAC Score

-0.1384

Percentile

43.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1384

Hospital score -0.1384. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 2 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.263
  • CLABSIN/A
  • CAUTIN/A
  • SSIN/A
  • CDIz -0.014
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.5000 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-0.2629-0.74871.24851.9972
CDI-0.0140-0.86250.96511.8276

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): 38.9th

Score distributionThreshold 0.3792Hospital -0.1384

Hospital score -0.1384. Penalty threshold 0.3792. Distribution of 45 scored hospitals.

Percentile among hospitals with 2 reported measures (252 scored): 55.8th

Score distributionThreshold 0.3792Hospital -0.1384

Hospital score -0.1384. Penalty threshold 0.3792. Distribution of 252 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1384; threshold 0.3792).

Reported on 2 of 6 measures; each reported measure moves the equal-weighted score by 0.5000 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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