Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

GRAYS HARBOR COMMUNITY HOSPITAL

WA · Facility ID 500031 · FY2026

Total HAC Score

-0.5496

Percentile

17.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5496

Hospital score -0.5496. 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 -0.682
  • CLABSIz -1.407
  • CAUTIz -1.319
  • SSIz -1.456
  • CDIz 1.686
  • MRSAz -0.120

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-0.6819-0.6832-0.01740.6658
CAUTI-1.3186-0.54960.06790.6175
MRSA-0.1197-0.7725-0.15880.6137
CDI1.6858-1.0742-0.46500.6092
CLABSI-1.4065-0.54960.05820.6078
SSI-1.4565-0.54960.05510.6047

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): 9.8th

Score distributionThreshold 0.3792Hospital -0.5496

Hospital score -0.5496. Penalty threshold 0.3792. Distribution of 46 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 11.6th

Score distributionThreshold 0.3792Hospital -0.5496

Hospital score -0.5496. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5496; 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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