HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
WEST JERSEY HOSPITAL
NJ · Facility ID 310022 · FY2026
Total HAC Score
-0.3827
Percentile
27.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3827. 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 0.437
- CLABSIz -0.824
- CAUTIz -0.463
- SSIz 0.181
- CDIz -0.521
- MRSAz -1.106
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.4371 | -0.7028 | -0.0371 | 0.6658 |
| CAUTI | -0.4629 | -0.5253 | 0.0921 | 0.6175 |
| MRSA | -1.1062 | -0.4412 | 0.1725 | 0.6137 |
| CDI | -0.5213 | -0.5395 | 0.0697 | 0.6092 |
| CLABSI | -0.8242 | -0.4798 | 0.1280 | 0.6078 |
| SSI | 0.1812 | -0.6557 | -0.0510 | 0.6047 |
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): 27.0th
Hospital score -0.3827. Penalty threshold 0.3792. Distribution of 61 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 22.0th
Hospital score -0.3827. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3827; 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.