Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

GOOD SAMARITAN HOSPITAL

OH · Facility ID 360134 · FY2026

Total HAC Score

-0.3401

Percentile

29.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3401

Hospital score -0.3401. 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 -0.734
  • CLABSIz -0.186
  • CAUTIz -0.097
  • SSIz 0.716
  • CDIz -0.637
  • MRSAz -1.102

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-0.7338-0.46500.20070.6658
CAUTI-0.0965-0.54380.07370.6175
MRSA-1.1020-0.39930.21450.6137
CDI-0.6374-0.47750.13170.6092
CLABSI-0.1863-0.54340.06440.6078
SSI0.7156-0.7021-0.09740.6047

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): 23.2th

Score distributionThreshold 0.3792Hospital -0.3401

Hospital score -0.3401. Penalty threshold 0.3792. Distribution of 114 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 24.7th

Score distributionThreshold 0.3792Hospital -0.3401

Hospital score -0.3401. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3401; 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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