Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

PENN STATE HEALTH ST. JOSEPH

PA · Facility ID 390096 · FY2026

Total HAC Score

-0.0825

Percentile

47.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0825

Hospital score -0.0825. 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 -1.102
  • CLABSIz -0.086
  • CAUTIz 0.429
  • SSIz -0.693
  • CDIz 1.728
  • MRSAz -0.772

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-1.1017-0.14610.51960.6658
CAUTI0.4290-0.37380.24370.6175
MRSA-0.7718-0.19680.41700.6137
CDI1.7284-0.6143-0.00510.6092
CLABSI-0.0865-0.30250.30530.6078
SSI-0.6925-0.20980.39480.6047

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 PA (130 scored): 33.5th

Score distributionThreshold 0.3792Hospital -0.0825

Hospital score -0.0825. Penalty threshold 0.3792. Distribution of 130 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 44.5th

Score distributionThreshold 0.3792Hospital -0.0825

Hospital score -0.0825. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0825; 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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