HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SAINT PETER'S UNIVERSITY HOSPITAL
NJ · Facility ID 310070 · FY2026
Total HAC Score
-0.5369
Percentile
18.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5369. 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 0.057
- CLABSIz -0.495
- CAUTIz -0.660
- SSIz -0.494
- CDIz -0.994
- MRSAz -0.636
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0574 | -0.7937 | -0.1279 | 0.6658 |
| CAUTI | -0.6605 | -0.6466 | -0.0291 | 0.6175 |
| MRSA | -0.6359 | -0.6738 | -0.0600 | 0.6137 |
| CDI | -0.9936 | -0.6150 | -0.0057 | 0.6092 |
| CLABSI | -0.4948 | -0.6888 | -0.0810 | 0.6078 |
| SSI | -0.4938 | -0.6973 | -0.0926 | 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): 17.2th
Hospital score -0.5369. Penalty threshold 0.3792. Distribution of 61 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 12.2th
Hospital score -0.5369. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5369; 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.