Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MCKENZIE-WILLAMETTE MEDICAL CENTER

OR · Facility ID 380020 · FY2026

Total HAC Score

-0.2481

Percentile

35.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2481

Hospital score -0.2481. 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 -0.712
  • CLABSIz -0.738
  • CAUTIz -0.644
  • SSIz -1.117
  • CDIz 2.193
  • MRSAz -0.471

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-0.7116-0.37680.28900.6657
CAUTI-0.6437-0.36060.25690.6175
MRSA-0.4708-0.41250.20120.6137
CDI2.1931-0.8573-0.24810.6092
CLABSI-0.7384-0.35950.24830.6078
SSI-1.1173-0.30470.30000.6047

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 OR (32 scored): 26.6th

Score distributionThreshold 0.3792Hospital -0.2481

Hospital score -0.2481. Penalty threshold 0.3792. Distribution of 32 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 31.6th

Score distributionThreshold 0.3792Hospital -0.2481

Hospital score -0.2481. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2481; 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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