Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

SOUTHERN OCEAN MEDICAL CENTER

NJ · Facility ID 310113 · FY2026

Total HAC Score

-0.2089

Percentile

38.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2089

Hospital score -0.2089. 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 -0.469
  • CLABSIz 0.347
  • CAUTIz 0.200
  • SSIz 0.089
  • CDIz -1.102
  • MRSAz -0.318

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-0.4689-0.37800.28780.6658
CAUTI0.2000-0.46200.15550.6175
MRSA-0.3183-0.39870.21500.6137
CDI-1.1021-0.26890.34030.6092
CLABSI0.3473-0.50120.10660.6078
SSI0.0887-0.46640.13830.6047

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): 45.1th

Score distributionThreshold 0.3792Hospital -0.2089

Hospital score -0.2089. Penalty threshold 0.3792. Distribution of 61 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 34.8th

Score distributionThreshold 0.3792Hospital -0.2089

Hospital score -0.2089. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2089; 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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