Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

RENOWN REGIONAL MEDICAL CENTER

NV · Facility ID 290001 · FY2026

Total HAC Score

-0.1414

Percentile

43.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1414

Hospital score -0.1414. 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 0.403
  • CLABSIz 0.071
  • CAUTIz -0.458
  • SSIz -0.561
  • CDIz 0.489
  • MRSAz -0.793

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 fate0.4025-0.45570.21000.6657
CAUTI-0.4581-0.28480.33270.6175
MRSA-0.7927-0.25210.36160.6137
CDI0.4894-0.46670.14260.6092
CLABSI0.0712-0.38770.22010.6078
SSI-0.5606-0.29070.31400.6047

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 NV (19 scored): 55.3th

Score distributionThreshold 0.3792Hospital -0.1414

Hospital score -0.1414. Penalty threshold 0.3792. Distribution of 19 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 40.4th

Score distributionThreshold 0.3792Hospital -0.1414

Hospital score -0.1414. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1414; 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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