Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

UNITY SPECIALTY HOSPITAL

NY · Facility ID 330411 · FY2026

Total HAC Score

2.1717

Percentile

99.0th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital 2.1717

Hospital score 2.1717. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 1 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90N/A
  • CLABSIN/A
  • CAUTIN/A
  • SSIImputedz 2.172
  • CDIN/A
  • MRSAN/A

Fragility

Each reported measure moves the score by 1.0000 points (leverage 1.0 — maximal fragility).

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
SSIcontrols fate2.1717-1.45652.17173.6282

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.

Imputation exposure

1 reported measure carry footnote 18 (imputed). Compare as-scored vs measured-only mean.

As scored
2.1717
Measured only
N/A
  • SSI imputed

Peer context

Percentile within NY (126 scored): 99.6th

Score distributionThreshold 0.3792Hospital 2.1717

Hospital score 2.1717. Penalty threshold 0.3792. Distribution of 126 scored hospitals.

Percentile among hospitals with 1 reported measure (182 scored): 91.2th

Score distributionThreshold 0.3792Hospital 2.1717

Hospital score 2.1717. Penalty threshold 0.3792. Distribution of 182 scored hospitals.

Plain-language verdict

As scored, the CMS file lists payment reduction Yes (Total HAC Score 2.1717; threshold 0.3792).

Fragility is maximal: only one measure is reported, so each reported measure moves the score by 1.0000 points (leverage 1.0).

Penalized as scored on imputed values only (footnote 18); excluding imputation leaves no measured Z-scores — a mechanics illustration, not a CMS prediction.

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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