Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

KENSINGTON HOSPITAL

PA · Facility ID 390025 · FY2026

Total HAC Score

0.3826

Percentile

75.3th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital 0.3826

Hospital score 0.3826. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 2 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90N/A
  • CLABSIz -1.407
  • CAUTIN/A
  • SSIImputedz 2.172
  • CDIN/A
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.5000 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
CLABSIcontrols fate-1.40650.38262.20601.8234
SSI2.1717-1.43150.38261.8141

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.

Imputation exposure

1 reported measure carry footnote 18 (imputed). Compare as-scored vs measured-only mean.

As scored
0.3826
Measured only
-1.4065
  • SSI imputed

Peer context

Percentile within PA (130 scored): 73.5th

Score distributionThreshold 0.3792Hospital 0.3826

Hospital score 0.3826. Penalty threshold 0.3792. Distribution of 130 scored hospitals.

Percentile among hospitals with 2 reported measures (252 scored): 74.4th

Score distributionThreshold 0.3792Hospital 0.3826

Hospital score 0.3826. Penalty threshold 0.3792. Distribution of 252 scored hospitals.

Plain-language verdict

As scored, the CMS file lists payment reduction Yes (Total HAC Score 0.3826; threshold 0.3792).

Reported on 2 of 6 measures; each reported measure moves the equal-weighted score by 0.5000 points.

Penalized as scored; would NOT be penalized on measured data alone — a mechanics illustration using measured-only mean -1.4065 vs threshold 0.3792, not a CMS prediction.

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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