Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

NEWARK BETH ISRAEL MEDICAL CENTER

NJ · Facility ID 310002 · FY2026

Total HAC Score

-0.2395

Percentile

36.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2395

Hospital score -0.2395. 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 -0.195
  • CLABSIz -0.427
  • CAUTIz -0.407
  • SSIz 0.469
  • CDIz -0.870
  • MRSAz -0.007

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-0.1947-0.45430.21140.6658
CAUTI-0.4074-0.39140.22610.6175
MRSA-0.0069-0.48130.13240.6137
CDI-0.8697-0.33830.27090.6092
CLABSI-0.4275-0.40270.20510.6078
SSI0.4689-0.56040.04430.6047

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 NJ (61 scored): 41.8th

Score distributionThreshold 0.3792Hospital -0.2395

Hospital score -0.2395. Penalty threshold 0.3792. Distribution of 61 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 32.3th

Score distributionThreshold 0.3792Hospital -0.2395

Hospital score -0.2395. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2395; 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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