Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

COOPERMAN BARNABAS MEDICAL CENTER

NJ · Facility ID 310076 · FY2026

Total HAC Score

-0.3448

Percentile

29.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3448

Hospital score -0.3448. 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 -0.625
  • CLABSIz -0.685
  • CAUTIz -0.463
  • SSIz 0.296
  • CDIz -0.211
  • MRSAz -0.381

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-0.6247-0.48800.17780.6657
CAUTI-0.4629-0.48750.13000.6175
MRSA-0.3810-0.52420.08950.6137
CDI-0.2115-0.55330.05590.6092
CLABSI-0.6850-0.46510.14270.6078
SSI0.2959-0.6369-0.03220.6047

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): 33.6th

Score distributionThreshold 0.3792Hospital -0.3448

Hospital score -0.3448. Penalty threshold 0.3792. Distribution of 61 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 24.4th

Score distributionThreshold 0.3792Hospital -0.3448

Hospital score -0.3448. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3448; 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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