Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

LONG ISLAND JEWISH MEDICAL CENTER

NY · Facility ID 330195 · FY2026

Total HAC Score

-0.2262

Percentile

37.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2262

Hospital score -0.2262. 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 0.376
  • CLABSIz -0.455
  • CAUTIz -0.299
  • SSIz -0.460
  • CDIz -0.397
  • MRSAz -0.122

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 fate0.3761-0.53610.12970.6657
CAUTI-0.2990-0.39610.22140.6175
MRSA-0.1218-0.44870.16500.6137
CDI-0.3973-0.40360.20560.6092
CLABSI-0.4554-0.38470.22310.6078
SSI-0.4595-0.39230.21240.6047

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): 26.6th

Score distributionThreshold 0.3792Hospital -0.2262

Hospital score -0.2262. Penalty threshold 0.3792. Distribution of 126 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 33.4th

Score distributionThreshold 0.3792Hospital -0.2262

Hospital score -0.2262. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2262; 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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