Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

NS/LIJ HS SOUTHSIDE HOSPITAL

NY · Facility ID 330043 · FY2026

Total HAC Score

-0.3285

Percentile

30.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3285

Hospital score -0.3285. 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 0.018
  • CLABSIz -1.105
  • CAUTIz -0.518
  • SSIz -1.008
  • CDIz -0.839
  • MRSAz 1.481

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 fate0.0176-0.57870.08710.6657
CAUTI-0.5183-0.46190.15560.6175
MRSA1.4811-0.8182-0.20450.6137
CDI-0.8388-0.43240.17680.6092
CLABSI-1.1049-0.37880.22900.6078
SSI-1.0077-0.40330.20140.6047

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 NY (126 scored): 25.0th

Score distributionThreshold 0.3792Hospital -0.3285

Hospital score -0.3285. Penalty threshold 0.3792. Distribution of 126 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 25.8th

Score distributionThreshold 0.3792Hospital -0.3285

Hospital score -0.3285. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3285; 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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