Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ST LUKE'S HOSPITAL - ANDERSON CAMPUS

PA · Facility ID 390326 · FY2026

Total HAC Score

-0.8145

Percentile

8.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.8145

Hospital score -0.8145. 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 -1.103
  • CLABSIz -0.782
  • CAUTIz -1.085
  • SSIz -0.122
  • CDIz -0.920
  • MRSAz -0.874

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-1.1032-0.8778-0.21210.6657
CAUTI-1.0848-0.8534-0.23600.6175
MRSA-0.8742-0.9116-0.29790.6137
CDI-0.9201-0.9048-0.29560.6092
CLABSI-0.7825-0.9185-0.31070.6078
SSI-0.1220-1.0369-0.43220.6047

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): 5.0th

Score distributionThreshold 0.3792Hospital -0.8145

Hospital score -0.8145. Penalty threshold 0.3792. Distribution of 130 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 4.2th

Score distributionThreshold 0.3792Hospital -0.8145

Hospital score -0.8145. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.8145; 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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