Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL

SC · Facility ID 420078 · FY2026

Total HAC Score

-0.1589

Percentile

41.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1589

Hospital score -0.1589. 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 -0.412
  • CLABSIz -0.165
  • CAUTIz -0.010
  • SSIz -0.273
  • CDIz -0.022
  • MRSAz -0.072

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-0.4124-0.33750.32830.6657
CAUTI-0.0097-0.37710.24040.6175
MRSA-0.0717-0.38990.22380.6137
CDI-0.0218-0.39900.21020.6092
CLABSI-0.1654-0.36580.24200.6078
SSI-0.2728-0.35630.24840.6047

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 SC (51 scored): 50.0th

Score distributionThreshold 0.3792Hospital -0.1589

Hospital score -0.1589. Penalty threshold 0.3792. Distribution of 51 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 38.9th

Score distributionThreshold 0.3792Hospital -0.1589

Hospital score -0.1589. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1589; 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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