Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

PROVIDENCE ST PETER HOSPITAL

WA · Facility ID 500024 · FY2026

Total HAC Score

0.3406

Percentile

72.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital 0.3406

Hospital score 0.3406. 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 2.511
  • CLABSIz 0.185
  • CAUTIz 0.275
  • SSIz 0.294
  • CDIz -0.211
  • MRSAz -1.010

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 fate2.5111-0.32520.34060.6658
CAUTI0.27470.07500.69250.6175
MRSA-1.01000.26600.87970.6137
CDI-0.21150.13210.74130.6092
CLABSI0.18490.07530.68310.6078
SSI0.29420.04880.65350.6047

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 WA (46 scored): 70.7th

Score distributionThreshold 0.3792Hospital 0.3406

Hospital score 0.3406. Penalty threshold 0.3792. Distribution of 46 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 73.7th

Score distributionThreshold 0.3792Hospital 0.3406

Hospital score 0.3406. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score 0.3406; 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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