Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

JONES MEMORIAL HOSPITAL

NY · Facility ID 330096 · FY2026

Total HAC Score

0.0288

Percentile

54.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital 0.0288

Hospital score 0.0288. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 4 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z 0.851
  • CLABSIN/A
  • CAUTIz 1.036
  • SSIz -1.456
  • CDIz -0.316
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.2500 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 fate0.8513-0.55490.44380.9986
CAUTI1.0365-0.55990.36630.9262
CDI-0.3160-0.25770.65610.9138
SSI-1.45650.02880.93590.9071

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): 44.0th

Score distributionThreshold 0.3792Hospital 0.0288

Hospital score 0.0288. Penalty threshold 0.3792. Distribution of 126 scored hospitals.

Percentile among hospitals with 4 reported measures (139 scored): 50.7th

Score distributionThreshold 0.3792Hospital 0.0288

Hospital score 0.0288. Penalty threshold 0.3792. Distribution of 139 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score 0.0288; threshold 0.3792).

Reported on 4 of 6 measures; each reported measure moves the equal-weighted score by 0.2500 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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