Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

INSPIRA MEDICAL CENTER VINELAND

NJ · Facility ID 310032 · FY2026

Total HAC Score

-0.2808

Percentile

33.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2808

Hospital score -0.2808. 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 0.412
  • CLABSIz -0.520
  • CAUTIz -0.832
  • SSIz -0.626
  • CDIz -0.332
  • MRSAz 0.213

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 fate0.4118-0.59670.06910.6657
CAUTI-0.8317-0.36190.25550.6175
MRSA0.2126-0.55910.05460.6137
CDI-0.3315-0.46930.14000.6092
CLABSI-0.5203-0.42850.17930.6078
SSI-0.6257-0.41930.18540.6047

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): 36.9th

Score distributionThreshold 0.3792Hospital -0.2808

Hospital score -0.2808. Penalty threshold 0.3792. Distribution of 61 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 29.3th

Score distributionThreshold 0.3792Hospital -0.2808

Hospital score -0.2808. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2808; 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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