Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

CENTRASTATE MEDICAL CENTER

NJ · Facility ID 310111 · FY2026

Total HAC Score

-0.1571

Percentile

41.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1571

Hospital score -0.1571. 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 1.603
  • CLABSIz -0.980
  • CAUTIz 0.063
  • SSIz -0.216
  • CDIz -1.079
  • MRSAz -0.333

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 fate1.6026-0.6714-0.00570.6657
CAUTI0.0626-0.38730.23020.6175
MRSA-0.3329-0.34450.26930.6137
CDI-1.0788-0.22100.38820.6092
CLABSI-0.9796-0.22820.37960.6078
SSI-0.2163-0.36380.24090.6047

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): 51.6th

Score distributionThreshold 0.3792Hospital -0.1571

Hospital score -0.1571. Penalty threshold 0.3792. Distribution of 61 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 39.0th

Score distributionThreshold 0.3792Hospital -0.1571

Hospital score -0.1571. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1571; 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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