Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ST CHARLES HOSPITAL

NY · Facility ID 330246 · FY2026

Total HAC Score

-0.8185

Percentile

8.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.8185

Hospital score -0.8185. 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 -0.661
  • CLABSIz -0.349
  • CAUTIz -0.393
  • SSIz -1.456
  • CDIz -1.017
  • MRSAz -1.035

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-0.6611-0.9556-0.28980.6657
CAUTI-0.3930-0.9728-0.35530.6175
MRSA-1.0351-0.8889-0.27520.6137
CDI-1.0169-0.8928-0.28360.6092
CLABSI-0.3487-0.9949-0.38710.6078
SSI-1.4565-0.8185-0.21380.6047

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): 8.3th

Score distributionThreshold 0.3792Hospital -0.8185

Hospital score -0.8185. Penalty threshold 0.3792. Distribution of 126 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 4.1th

Score distributionThreshold 0.3792Hospital -0.8185

Hospital score -0.8185. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.8185; 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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