Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

GOOD SAMARITAN HOSPITAL OF SUFFERN

NY · Facility ID 330158 · FY2026

Total HAC Score

-0.5762

Percentile

16.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5762

Hospital score -0.5762. 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 -0.740
  • CLABSIz -0.504
  • CAUTIz 0.087
  • SSIz -0.485
  • CDIz -0.692
  • MRSAz -1.123

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-0.7399-0.7001-0.03430.6657
CAUTI0.0867-0.8104-0.19290.6175
MRSA-1.1229-0.6319-0.01820.6137
CDI-0.6916-0.7046-0.09540.6092
CLABSI-0.5041-0.7266-0.11880.6078
SSI-0.4852-0.7380-0.13340.6047

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): 13.1th

Score distributionThreshold 0.3792Hospital -0.5762

Hospital score -0.5762. Penalty threshold 0.3792. Distribution of 126 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 10.3th

Score distributionThreshold 0.3792Hospital -0.5762

Hospital score -0.5762. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5762; 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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