Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET

PA · Facility ID 390030 · FY2026

Total HAC Score

-0.7840

Percentile

9.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7840

Hospital score -0.7840. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -1.015
  • CLABSIz -0.861
  • CAUTIz -0.301
  • SSIN/A
  • CDIz -0.285
  • MRSAz -1.457

Fragility

Each reported measure moves the score by 0.2000 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-1.0150-0.8777-0.07880.7989
CAUTI-0.3014-0.9875-0.24650.7410
MRSA-1.4573-0.7840-0.04750.7365
CDI-0.2851-1.0194-0.28840.7311
CLABSI-0.8613-0.8931-0.16370.7293

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 PA (130 scored): 6.5th

Score distributionThreshold 0.3792Hospital -0.7840

Hospital score -0.7840. Penalty threshold 0.3792. Distribution of 130 scored hospitals.

Percentile among hospitals with 5 reported measures (220 scored): 12.0th

Score distributionThreshold 0.3792Hospital -0.7840

Hospital score -0.7840. Penalty threshold 0.3792. Distribution of 220 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7840; threshold 0.3792).

Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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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