Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS

NJ · Facility ID 310064 · FY2026

Total HAC Score

-0.0914

Percentile

46.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0914

Hospital score -0.0914. 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 -0.030
  • CLABSIz -0.311
  • CAUTIz -0.559
  • SSIz 0.068
  • CDIz 0.199
  • MRSAz 0.085

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-0.0298-0.33370.33210.6657
CAUTI-0.5593-0.21800.39950.6175
MRSA0.0851-0.34850.26530.6137
CDI0.1990-0.36830.24090.6092
CLABSI-0.3115-0.27390.33390.6078
SSI0.0681-0.34550.25920.6047

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): 56.6th

Score distributionThreshold 0.3792Hospital -0.0914

Hospital score -0.0914. Penalty threshold 0.3792. Distribution of 61 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 43.9th

Score distributionThreshold 0.3792Hospital -0.0914

Hospital score -0.0914. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0914; 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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