Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

SSM ST JOSEPH HEALTH CENTER

MO · Facility ID 260005 · FY2026

Total HAC Score

-0.0819

Percentile

47.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0819

Hospital score -0.0819. 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 -0.537
  • CLABSIz -0.029
  • CAUTIz -0.856
  • SSIz 0.940
  • CDIz -0.781
  • MRSAz 0.771

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-0.5371-0.23960.42610.6658
CAUTI-0.8558-0.15900.45840.6175
MRSA0.7706-0.45320.16050.6137
CDI-0.7807-0.19550.41370.6092
CLABSI-0.0285-0.31160.29620.6078
SSI0.9400-0.48130.12340.6047

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 MO (62 scored): 41.1th

Score distributionThreshold 0.3792Hospital -0.0819

Hospital score -0.0819. Penalty threshold 0.3792. Distribution of 62 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 44.6th

Score distributionThreshold 0.3792Hospital -0.0819

Hospital score -0.0819. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0819; 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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