Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

CAROLINA EAST MEDICAL CENTER

NC · Facility ID 340131 · FY2026

Total HAC Score

-0.3772

Percentile

27.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3772

Hospital score -0.3772. 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 -0.917
  • CLABSIz -0.384
  • CAUTIz -0.010
  • SSIz -0.119
  • CDIz 0.106
  • MRSAz -0.941

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-0.9166-0.47170.19400.6658
CAUTI-0.0097-0.59540.02210.6175
MRSA-0.9411-0.46330.15040.6137
CDI0.1060-0.6386-0.02940.6092
CLABSI-0.3835-0.54780.06000.6078
SSI-0.1186-0.60020.00450.6047

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): 19.6th

Score distributionThreshold 0.3792Hospital -0.3772

Hospital score -0.3772. Penalty threshold 0.3792. Distribution of 79 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 22.3th

Score distributionThreshold 0.3792Hospital -0.3772

Hospital score -0.3772. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3772; 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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