Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

NORTHERN WESTCHESTER HOSPITAL

NY · Facility ID 330162 · FY2026

Total HAC Score

-0.5258

Percentile

18.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5258

Hospital score -0.5258. 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 -0.847
  • CLABSIz -1.407
  • CAUTIz -0.552
  • SSIz -0.213
  • CDIz -0.978
  • MRSAz 0.842

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-0.8470-0.63190.03390.6658
CAUTI-0.5521-0.6536-0.03610.6175
MRSA0.8416-0.9090-0.29530.6137
CDI-0.9782-0.60650.00270.6092
CLABSI-1.4065-0.52580.08200.6078
SSI-0.2128-0.7331-0.12840.6047

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): 17.1th

Score distributionThreshold 0.3792Hospital -0.5258

Hospital score -0.5258. Penalty threshold 0.3792. Distribution of 126 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 12.8th

Score distributionThreshold 0.3792Hospital -0.5258

Hospital score -0.5258. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5258; 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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