Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MAPLE GROVE HOSPITAL

MN · Facility ID 240214 · FY2026

Total HAC Score

-0.3674

Percentile

28.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3674

Hospital score -0.3674. 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 -1.372
  • CLABSIz -0.775
  • CAUTIz 1.699
  • SSIz 0.008
  • CDIz -0.901
  • MRSAz -0.864

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-1.3719-0.38600.27980.6658
CAUTI1.6993-0.8704-0.25290.6175
MRSA-0.8637-0.46630.14740.6137
CDI-0.9007-0.46100.14820.6092
CLABSI-0.7755-0.47260.13520.6078
SSI0.0081-0.6115-0.00680.6047

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): 14.4th

Score distributionThreshold 0.3792Hospital -0.3674

Hospital score -0.3674. Penalty threshold 0.3792. Distribution of 45 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 22.9th

Score distributionThreshold 0.3792Hospital -0.3674

Hospital score -0.3674. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3674; 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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