Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ST CLAIR HOSPITAL

PA · Facility ID 390228 · FY2026

Total HAC Score

-0.4668

Percentile

22.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4668

Hospital score -0.4668. 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 -1.045
  • CLABSIz -0.887
  • CAUTIz -0.203
  • SSIz 0.407
  • CDIz -0.730
  • MRSAz -0.343

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-1.0449-0.53980.12590.6657
CAUTI-0.2025-0.6528-0.03530.6175
MRSA-0.3433-0.6524-0.03870.6137
CDI-0.7303-0.58870.02050.6092
CLABSI-0.8868-0.55340.05440.6078
SSI0.4073-0.7774-0.17270.6047

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): 19.6th

Score distributionThreshold 0.3792Hospital -0.4668

Hospital score -0.4668. Penalty threshold 0.3792. Distribution of 130 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 16.7th

Score distributionThreshold 0.3792Hospital -0.4668

Hospital score -0.4668. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4668; 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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