Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MONMOUTH MEDICAL CENTER

NJ · Facility ID 310075 · FY2026

Total HAC Score

-0.7301

Percentile

11.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7301

Hospital score -0.7301. 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 -0.378
  • CLABSIz -1.147
  • CAUTIz -0.429
  • SSIz -0.615
  • CDIz -1.048
  • MRSAz -0.763

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-0.3783-0.9143-0.24850.6657
CAUTI-0.4291-0.8784-0.26090.6175
MRSA-0.7634-0.8458-0.23200.6137
CDI-1.0478-0.7992-0.19000.6092
CLABSI-1.1467-0.7734-0.16560.6078
SSI-0.6154-0.8703-0.26560.6047

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): 5.7th

Score distributionThreshold 0.3792Hospital -0.7301

Hospital score -0.7301. Penalty threshold 0.3792. Distribution of 61 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 5.8th

Score distributionThreshold 0.3792Hospital -0.7301

Hospital score -0.7301. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7301; 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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