Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MOUNT CARMEL ST ANN'S

OH · Facility ID 360012 · FY2026

Total HAC Score

-0.1817

Percentile

40.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1817

Hospital score -0.1817. 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 -0.992
  • CLABSIz -0.158
  • CAUTIz 0.366
  • SSIz 0.231
  • CDIz -0.827
  • MRSAz 0.290

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-0.9917-0.26360.40210.6657
CAUTI0.3663-0.46250.15500.6175
MRSA0.2899-0.47290.14080.6137
CDI-0.8271-0.28760.32170.6092
CLABSI-0.1584-0.38970.21810.6078
SSI0.2308-0.46290.14180.6047

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 OH (114 scored): 35.5th

Score distributionThreshold 0.3792Hospital -0.1817

Hospital score -0.1817. Penalty threshold 0.3792. Distribution of 114 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 37.2th

Score distributionThreshold 0.3792Hospital -0.1817

Hospital score -0.1817. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1817; 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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