Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

NORTH SHORE UNIVERSITY HOSPITAL

NY · Facility ID 330106 · FY2026

Total HAC Score

-0.0447

Percentile

50.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0447

Hospital score -0.0447. 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 -0.307
  • CLABSIz 0.851
  • CAUTIz -0.003
  • SSIz -0.773
  • CDIz 0.071
  • MRSAz -0.107

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-0.3073-0.24070.42500.6657
CAUTI-0.0025-0.26400.35340.6175
MRSA-0.1072-0.26970.34400.6137
CDI0.0712-0.30020.30900.6092
CLABSI0.8507-0.42090.18690.6078
SSI-0.7730-0.15860.44610.6047

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): 37.7th

Score distributionThreshold 0.3792Hospital -0.0447

Hospital score -0.0447. Penalty threshold 0.3792. Distribution of 126 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 48.0th

Score distributionThreshold 0.3792Hospital -0.0447

Hospital score -0.0447. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0447; 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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