Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

SACRED HEART MEDICAL CENTER - RIVERBEND

OR · Facility ID 380102 · FY2026

Total HAC Score

-0.2173

Percentile

37.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2173

Hospital score -0.2173. 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 -1.483
  • CLABSIz 0.041
  • CAUTIz -1.099
  • SSIz -0.072
  • CDIz 0.358
  • MRSAz 0.952

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-1.4834-0.21730.44840.6657
CAUTI-1.0993-0.25390.36360.6175
MRSA0.9524-0.6189-0.00520.6137
CDI0.3577-0.52060.08860.6092
CLABSI0.0411-0.45860.14920.6078
SSI-0.0724-0.44800.15670.6047

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): 29.7th

Score distributionThreshold 0.3792Hospital -0.2173

Hospital score -0.2173. Penalty threshold 0.3792. Distribution of 32 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 34.0th

Score distributionThreshold 0.3792Hospital -0.2173

Hospital score -0.2173. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2173; 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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