Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

WILMINGTON TREATMENT CENTER

NC · Facility ID 340168 · FY2026

Total HAC Score

2.2091

Percentile

99.8th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital 2.2091

Hospital score 2.2091. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 2 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
  • SSIN/A
  • CDIImputedz 2.193
  • MRSAImputedz 2.225

Fragility

Each reported measure moves the score by 0.5000 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
MRSAcontrols fate2.22510.36792.20911.8412
CDI2.19310.38142.20911.8276

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

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

As scored
2.2091
Measured only
N/A
  • CDI imputed
  • MRSA imputed

Peer context

Percentile within NC (79 scored): 99.4th

Score distributionThreshold 0.3792Hospital 2.2091

Hospital score 2.2091. Penalty threshold 0.3792. Distribution of 79 scored hospitals.

Percentile among hospitals with 2 reported measures (252 scored): 99.0th

Score distributionThreshold 0.3792Hospital 2.2091

Hospital score 2.2091. Penalty threshold 0.3792. Distribution of 252 scored hospitals.

Plain-language verdict

As scored, the CMS file lists payment reduction Yes (Total HAC Score 2.2091; threshold 0.3792).

Reported on 2 of 6 measures; each reported measure moves the equal-weighted score by 0.5000 points.

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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