Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

← All audits

Hospital audit

PROVIDENCE PORTLAND MEDICAL CENTER

OR · Facility ID 380061 · FY2026

Total HAC Score

-0.0715

Percentile

48.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0715

Hospital score -0.0715. 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 -0.428
  • CLABSIz -0.492
  • CAUTIz 0.627
  • SSIz -0.115
  • CDIz 0.218
  • MRSAz -0.239

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-0.4277-0.24750.41830.6657
CAUTI0.6267-0.39580.22170.6175
MRSA-0.2389-0.27460.33910.6137
CDI0.2183-0.35160.25760.6092
CLABSI-0.4925-0.22390.38390.6078
SSI-0.1152-0.29510.30960.6047

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): 39.1th

Score distributionThreshold 0.3792Hospital -0.0715

Hospital score -0.0715. Penalty threshold 0.3792. Distribution of 32 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 45.9th

Score distributionThreshold 0.3792Hospital -0.0715

Hospital score -0.0715. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0715; 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.

Scan a hospital system →