Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

BON SECOURS MARYVIEW MEDICAL CENTER

VA · Facility ID 490017 · FY2026

Total HAC Score

-0.5228

Percentile

19.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5228

Hospital score -0.5228. 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 -1.130
  • CLABSIz -0.578
  • CAUTIz -1.319
  • SSIz 1.805
  • CDIz -1.400
  • MRSAz -0.515

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-1.1299-0.58170.08410.6657
CAUTI-1.3186-0.52280.09470.6175
MRSA-0.5147-0.6799-0.06610.6137
CDI-1.4002-0.53310.07610.6092
CLABSI-0.5783-0.6608-0.05300.6078
SSI1.8051-1.0664-0.46170.6047

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 VA (70 scored): 32.1th

Score distributionThreshold 0.3792Hospital -0.5228

Hospital score -0.5228. Penalty threshold 0.3792. Distribution of 70 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 13.1th

Score distributionThreshold 0.3792Hospital -0.5228

Hospital score -0.5228. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5228; 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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