Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

WAKEMED, RALEIGH CAMPUS

NC · Facility ID 340069 · FY2026

Total HAC Score

-0.2779

Percentile

33.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2779

Hospital score -0.2779. 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 0.067
  • CLABSIz -0.434
  • CAUTIz -0.795
  • SSIz 0.808
  • CDIz -0.405
  • MRSAz -0.908

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 fate0.0672-0.53630.12940.6657
CAUTI-0.7955-0.36510.25240.6175
MRSA-0.9076-0.36950.24420.6137
CDI-0.4051-0.45410.15510.6092
CLABSI-0.4345-0.43990.16790.6078
SSI0.8081-0.6553-0.05060.6047

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 NC (79 scored): 23.4th

Score distributionThreshold 0.3792Hospital -0.2779

Hospital score -0.2779. Penalty threshold 0.3792. Distribution of 79 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 29.5th

Score distributionThreshold 0.3792Hospital -0.2779

Hospital score -0.2779. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2779; 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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