HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
VIDANT DUPLIN HOSPITAL
NC · Facility ID 340120 · FY2026
Total HAC Score
0.7830
Percentile
89.6th
Displayed status
Payment reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score 0.7830. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 4 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.199
- CLABSIN/A
- CAUTIz -0.347
- SSIN/A
- CDIz 1.454
- MRSAz 2.225
Fragility
Each reported measure moves the score by 0.2500 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.1993 | 0.4620 | 1.4606 | 0.9986 |
| CAUTI | -0.3472 | 0.5402 | 1.4664 | 0.9262 |
| MRSA | 2.2251 | -0.1376 | 0.7830 | 0.9206 |
| CDI | 1.4535 | 0.0541 | 0.9679 | 0.9138 |
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): 89.2th
Hospital score 0.7830. Penalty threshold 0.3792. Distribution of 79 scored hospitals.
Percentile among hospitals with 4 reported measures (139 scored): 82.4th
Hospital score 0.7830. Penalty threshold 0.3792. Distribution of 139 scored hospitals.
Plain-language verdict
As scored, the CMS file lists payment reduction Yes (Total HAC Score 0.7830; threshold 0.3792).
Reported on 4 of 6 measures; each reported measure moves the equal-weighted score by 0.2500 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.