Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ROCHESTER GENERAL HOSPITAL

NY · Facility ID 330125 · FY2026

Total HAC Score

0.7931

Percentile

89.8th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital 0.7931

Hospital score 0.7931. 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 2.511
  • CLABSIz 0.853
  • CAUTIz 0.152
  • SSIz 0.364
  • CDIz 0.292
  • MRSAz 0.587

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 fate2.51110.12740.79310.6657
CAUTI0.15180.54811.16550.6175
MRSA0.58660.45251.06620.6137
CDI0.29190.50081.11000.6092
CLABSI0.85300.41651.02430.6078
SSI0.36440.48961.09430.6047

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): 82.1th

Score distributionThreshold 0.3792Hospital 0.7931

Hospital score 0.7931. Penalty threshold 0.3792. Distribution of 126 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 93.4th

Score distributionThreshold 0.3792Hospital 0.7931

Hospital score 0.7931. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists payment reduction Yes (Total HAC Score 0.7931; 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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