HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY
NJ · Facility ID 310024 · FY2026
Total HAC Score
-0.3461
Percentile
29.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3461. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z 0.564
- CLABSIz 1.169
- CAUTIz -0.714
- SSIN/A
- CDIz -1.292
- MRSAz -1.457
Fragility
Each reported measure moves the score by 0.2000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.5636 | -0.7555 | 0.0434 | 0.7989 |
| CAUTI | -0.7136 | -0.4671 | 0.2739 | 0.7410 |
| MRSA | -1.4573 | -0.3461 | 0.3904 | 0.7365 |
| CDI | -1.2918 | -0.3802 | 0.3509 | 0.7311 |
| CLABSI | 1.1685 | -0.8611 | -0.1318 | 0.7293 |
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): 32.0th
Hospital score -0.3461. Penalty threshold 0.3792. Distribution of 61 scored hospitals.
Percentile among hospitals with 5 reported measures (220 scored): 33.9th
Hospital score -0.3461. Penalty threshold 0.3792. Distribution of 220 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3461; threshold 0.3792).
Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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.