Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

FORT LOUDOUN MEDICAL CENTER

TN · Facility ID 440110 · FY2026

Total HAC Score

-0.1683

Percentile

41.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1683

Hospital score -0.1683. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.553
  • CLABSIz 0.206
  • CAUTIz 0.311
  • SSIz -0.218
  • CDIz -0.587
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.2000 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-0.5531-0.35440.44450.7989
CAUTI0.3109-0.49420.24680.7410
CDI-0.5871-0.34330.38770.7311
CLABSI0.2058-0.49080.23860.7293
SSI-0.2180-0.41600.30960.7256

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 TN (73 scored): 51.4th

Score distributionThreshold 0.3792Hospital -0.1683

Hospital score -0.1683. Penalty threshold 0.3792. Distribution of 73 scored hospitals.

Percentile among hospitals with 5 reported measures (220 scored): 42.0th

Score distributionThreshold 0.3792Hospital -0.1683

Hospital score -0.1683. Penalty threshold 0.3792. Distribution of 220 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1683; threshold 0.3792).

Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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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