Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MOUNT SINAI WEST

NY · Facility ID 330046 · FY2026

Total HAC Score

-0.2032

Percentile

38.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2032

Hospital score -0.2032. 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 -0.445
  • CLABSIz 0.526
  • CAUTIz -0.386
  • SSIz 0.113
  • CDIz -0.630
  • MRSAz -0.398

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-0.4448-0.37630.28940.6658
CAUTI-0.3857-0.35870.25880.6175
MRSA-0.3977-0.37980.23390.6137
CDI-0.6297-0.34200.26720.6092
CLABSI0.5259-0.52530.08250.6078
SSI0.1126-0.46470.13990.6047

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): 29.0th

Score distributionThreshold 0.3792Hospital -0.2032

Hospital score -0.2032. Penalty threshold 0.3792. Distribution of 126 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 35.1th

Score distributionThreshold 0.3792Hospital -0.2032

Hospital score -0.2032. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2032; 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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