Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

RIDDLE MEMORIAL HOSPITAL

PA · Facility ID 390222 · FY2026

Total HAC Score

-0.3317

Percentile

30.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3317

Hospital score -0.3317. 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 -0.926
  • CLABSIz -1.105
  • CAUTIz -0.639
  • SSIz -0.807
  • CDIz -0.130
  • MRSAz 1.617

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-0.9262-0.42460.24120.6657
CAUTI-0.6388-0.44500.17250.6175
MRSA1.6170-0.8441-0.23040.6137
CDI-0.1302-0.55370.05550.6092
CLABSI-1.1049-0.38200.22580.6078
SSI-0.8072-0.43990.16480.6047

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): 22.7th

Score distributionThreshold 0.3792Hospital -0.3317

Hospital score -0.3317. Penalty threshold 0.3792. Distribution of 130 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 25.3th

Score distributionThreshold 0.3792Hospital -0.3317

Hospital score -0.3317. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3317; 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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