Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

PORTSMOUTH REGIONAL HOSPITAL

NH · Facility ID 300029 · FY2026

Total HAC Score

-0.6976

Percentile

12.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.6976

Hospital score -0.6976. 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 -0.348
  • CLABSIz -0.615
  • CAUTIz 0.048
  • SSIz -1.028
  • CDIz -0.784
  • 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 fate-0.3480-0.8868-0.22100.6658
CAUTI0.0481-0.9253-0.30780.6175
MRSA-1.4573-0.6976-0.08380.6137
CDI-0.7845-0.8105-0.20130.6092
CLABSI-0.6154-0.8294-0.22160.6078
SSI-1.0282-0.7689-0.16420.6047

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 NH (13 scored): 3.8th

Score distributionThreshold 0.3792Hospital -0.6976

Hospital score -0.6976. Penalty threshold 0.3792. Distribution of 13 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 6.9th

Score distributionThreshold 0.3792Hospital -0.6976

Hospital score -0.6976. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.6976; 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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