Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

SOUTHWESTERN VERMONT MEDICAL CENTER

VT · Facility ID 470012 · FY2026

Total HAC Score

-0.4317

Percentile

24.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4317

Hospital score -0.4317. 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 -1.254
  • CLABSIz -1.407
  • CAUTIz 2.386
  • SSIz -1.456
  • CDIz 0.598
  • 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-1.2544-0.46990.19580.6657
CAUTI2.3863-1.0493-0.43180.6175
MRSA-1.4573-0.43180.18200.6137
CDI0.5978-0.7751-0.16590.6092
CLABSI-1.4065-0.43180.17600.6078
SSI-1.4565-0.43180.17290.6047

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 VT (6 scored): 8.3th

Score distributionThreshold 0.3792Hospital -0.4317

Hospital score -0.4317. Penalty threshold 0.3792. Distribution of 6 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 19.3th

Score distributionThreshold 0.3792Hospital -0.4317

Hospital score -0.4317. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4317; 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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