Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

HOSPITAL FOR SPECIAL SURGERY

NY · Facility ID 330270 · FY2026

Total HAC Score

-0.6526

Percentile

14.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.6526

Hospital score -0.6526. 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 -1.483
  • CLABSIz -1.407
  • CAUTIz 1.644
  • SSIN/A
  • CDIz -0.560
  • MRSAz -1.457

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-1.4834-0.65270.14620.7989
CAUTI1.6439-1.2452-0.50420.7410
MRSA-1.4573-0.65270.08380.7365
CDI-0.5600-0.8331-0.10200.7311
CLABSI-1.4065-0.65270.07670.7293

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): 11.5th

Score distributionThreshold 0.3792Hospital -0.6526

Hospital score -0.6526. Penalty threshold 0.3792. Distribution of 126 scored hospitals.

Percentile among hospitals with 5 reported measures (220 scored): 17.0th

Score distributionThreshold 0.3792Hospital -0.6526

Hospital score -0.6526. Penalty threshold 0.3792. Distribution of 220 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.6526; 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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