Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MERCY HEALTH - CLERMONT HOSPITAL

OH · Facility ID 360236 · FY2026

Total HAC Score

-0.0777

Percentile

47.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0777

Hospital score -0.0777. 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 -0.901
  • CLABSIz -0.752
  • CAUTIz 1.603
  • SSIz 1.202
  • CDIz -0.908
  • MRSAz -0.709

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-0.9015-0.17470.49100.6658
CAUTI1.6029-0.56460.05280.6175
MRSA-0.7091-0.20240.41130.6137
CDI-0.9085-0.17000.43920.6092
CLABSI-0.7523-0.18680.42100.6078
SSI1.2021-0.52080.08390.6047

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): 42.5th

Score distributionThreshold 0.3792Hospital -0.0777

Hospital score -0.0777. Penalty threshold 0.3792. Distribution of 114 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 45.2th

Score distributionThreshold 0.3792Hospital -0.0777

Hospital score -0.0777. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0777; 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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