Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

NICHOLAS H NOYES MEMORIAL HOSPITAL

NY · Facility ID 330238 · FY2026

Total HAC Score

-0.2310

Percentile

36.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2310

Hospital score -0.2310. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.399
  • CLABSIz -0.080
  • CAUTIz -1.319
  • SSIz 0.292
  • CDIz 0.350
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.2000 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-0.3994-0.44780.35110.7989
CAUTI-1.3186-0.23100.51000.7410
CDI0.3500-0.59350.13760.7311
CLABSI-0.0796-0.49640.23290.7293
SSI0.2925-0.58080.14480.7256

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): 25.8th

Score distributionThreshold 0.3792Hospital -0.2310

Hospital score -0.2310. Penalty threshold 0.3792. Distribution of 126 scored hospitals.

Percentile among hospitals with 5 reported measures (220 scored): 38.0th

Score distributionThreshold 0.3792Hospital -0.2310

Hospital score -0.2310. Penalty threshold 0.3792. Distribution of 220 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2310; threshold 0.3792).

Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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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