Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

LOVELACE WOMEN'S HOSPITAL

NM · Facility ID 320017 · FY2026

Total HAC Score

-0.2492

Percentile

35.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2492

Hospital score -0.2492. 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 -0.477
  • CLABSIz -0.049
  • CAUTIz 0.176
  • SSIz 0.776
  • CDIz -0.463
  • MRSAz -1.457

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-0.4769-0.41700.24880.6657
CAUTI0.1759-0.49830.11920.6175
MRSA-1.4573-0.24920.36450.6137
CDI-0.4632-0.41570.19350.6092
CLABSI-0.0494-0.47540.13240.6078
SSI0.7756-0.6212-0.01650.6047

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 NM (26 scored): 28.8th

Score distributionThreshold 0.3792Hospital -0.2492

Hospital score -0.2492. Penalty threshold 0.3792. Distribution of 26 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 31.5th

Score distributionThreshold 0.3792Hospital -0.2492

Hospital score -0.2492. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2492; 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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