Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

LONESOME PINE HOSPITAL

VA · Facility ID 490114 · FY2026

Total HAC Score

-0.1887

Percentile

39.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1887

Hospital score -0.1887. 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 0.806
  • CLABSIz 0.176
  • CAUTIz -1.319
  • SSIz 1.343
  • CDIz -0.680
  • 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 fate0.8056-0.57020.09560.6657
CAUTI-1.3186-0.18870.42880.6175
MRSA-1.4573-0.18870.42500.6137
CDI-0.6800-0.31910.29020.6092
CLABSI0.1756-0.45240.15540.6078
SSI1.3426-0.6552-0.05050.6047

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): 56.4th

Score distributionThreshold 0.3792Hospital -0.1887

Hospital score -0.1887. Penalty threshold 0.3792. Distribution of 70 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 36.7th

Score distributionThreshold 0.3792Hospital -0.1887

Hospital score -0.1887. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1887; 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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