Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ST. GEORGE REGIONAL HOSPITAL

UT · Facility ID 460021 · FY2026

Total HAC Score

-0.7333

Percentile

11.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7333

Hospital score -0.7333. 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 -1.231
  • CLABSIz -0.532
  • CAUTIz -1.174
  • SSIz -0.064
  • CDIz -0.680
  • MRSAz -0.720

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-1.2308-0.7754-0.10970.6657
CAUTI-1.1740-0.7574-0.14000.6175
MRSA-0.7195-0.8563-0.24260.6137
CDI-0.6800-0.8637-0.25450.6092
CLABSI-0.5319-0.8791-0.27130.6078
SSI-0.0638-0.9655-0.36080.6047

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 UT (31 scored): 30.6th

Score distributionThreshold 0.3792Hospital -0.7333

Hospital score -0.7333. Penalty threshold 0.3792. Distribution of 31 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 5.7th

Score distributionThreshold 0.3792Hospital -0.7333

Hospital score -0.7333. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7333; 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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