Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

SANFORD MEDICAL CENTER FARGO

ND · Facility ID 350011 · FY2026

Total HAC Score

-0.3139

Percentile

31.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3139

Hospital score -0.3139. 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 0.655
  • CLABSIz -0.652
  • CAUTIz -1.123
  • SSIz 0.042
  • CDIz -0.242
  • MRSAz -0.563

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 fate0.6553-0.6704-0.00460.6657
CAUTI-1.1234-0.34640.27100.6175
MRSA-0.5628-0.46300.15070.6137
CDI-0.2425-0.51720.09200.6092
CLABSI-0.6525-0.43960.16820.6078
SSI0.0424-0.56370.04100.6047

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 ND (6 scored): 25.0th

Score distributionThreshold 0.3792Hospital -0.3139

Hospital score -0.3139. Penalty threshold 0.3792. Distribution of 6 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 26.8th

Score distributionThreshold 0.3792Hospital -0.3139

Hospital score -0.3139. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3139; 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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