Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

TIMPANOGOS REGIONAL HOSPITAL

UT · Facility ID 460052 · FY2026

Total HAC Score

-0.5478

Percentile

17.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5478

Hospital score -0.5478. 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 -0.394
  • CLABSIz 0.556
  • CAUTIz 0.410
  • SSIz -0.939
  • CDIz -1.462
  • MRSAz -1.457

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-0.3941-0.7294-0.06360.6658
CAUTI0.4097-0.8359-0.21840.6175
MRSA-1.4573-0.54780.06590.6137
CDI-1.4622-0.54780.06140.6092
CLABSI0.5561-0.8749-0.26710.6078
SSI-0.9391-0.6341-0.02940.6047

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): 40.3th

Score distributionThreshold 0.3792Hospital -0.5478

Hospital score -0.5478. Penalty threshold 0.3792. Distribution of 31 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 11.7th

Score distributionThreshold 0.3792Hospital -0.5478

Hospital score -0.5478. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5478; 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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