Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

AVERA HEART HOSPITAL OF SOUTH DAKOTA

SD · Facility ID 430095 · FY2026

Total HAC Score

-0.7320

Percentile

11.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7320

Hospital score -0.7320. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 2 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.377
  • CLABSIN/A
  • CAUTIN/A
  • SSIN/A
  • CDIz -1.087
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.5000 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-0.3774-1.28500.71221.9973
CDI-1.0866-0.91980.90781.8276

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 SD (16 scored): 34.4th

Score distributionThreshold 0.3792Hospital -0.7320

Hospital score -0.7320. Penalty threshold 0.3792. Distribution of 16 scored hospitals.

Percentile among hospitals with 2 reported measures (252 scored): 38.3th

Score distributionThreshold 0.3792Hospital -0.7320

Hospital score -0.7320. Penalty threshold 0.3792. Distribution of 252 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7320; threshold 0.3792).

Reported on 2 of 6 measures; each reported measure moves the equal-weighted score by 0.5000 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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