Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

LEGACY SILVERTON MEDICAL CENTER

OR · Facility ID 380029 · FY2026

Total HAC Score

-0.2946

Percentile

32.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2946

Hospital score -0.2946. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 3 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z 0.384
  • CLABSIN/A
  • CAUTIN/A
  • SSIz -0.591
  • CDIz -0.676
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.3333 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 fate0.3837-0.91700.41451.3315
CDI-0.6761-0.55660.66181.2184
SSI-0.5914-0.58300.62641.2094

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): 23.4th

Score distributionThreshold 0.3792Hospital -0.2946

Hospital score -0.2946. Penalty threshold 0.3792. Distribution of 32 scored hospitals.

Percentile among hospitals with 3 reported measures (196 scored): 39.5th

Score distributionThreshold 0.3792Hospital -0.2946

Hospital score -0.2946. Penalty threshold 0.3792. Distribution of 196 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2946; threshold 0.3792).

Reported on 3 of 6 measures; each reported measure moves the equal-weighted score by 0.3333 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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