Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

KETTERING HEALTH MAIN CAMPUS

OH · Facility ID 360079 · FY2026

Total HAC Score

-0.2154

Percentile

37.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2154

Hospital score -0.2154. 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 -1.462
  • CLABSIz 0.171
  • CAUTIz -0.164
  • SSIz 0.707
  • CDIz 0.029
  • MRSAz -0.573

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-1.4620-0.21900.44670.6657
CAUTI-0.1640-0.40790.20960.6175
MRSA-0.5732-0.36280.25100.6137
CDI0.0286-0.46390.14530.6092
CLABSI0.1710-0.47830.12940.6078
SSI0.7070-0.57600.02870.6047

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): 32.0th

Score distributionThreshold 0.3792Hospital -0.2154

Hospital score -0.2154. Penalty threshold 0.3792. Distribution of 114 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 34.1th

Score distributionThreshold 0.3792Hospital -0.2154

Hospital score -0.2154. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2154; 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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