Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

TRIOS HEALTH

WA · Facility ID 500053 · FY2026

Total HAC Score

-0.3106

Percentile

31.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3106

Hospital score -0.3106. 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 0.446
  • CLABSIz -1.407
  • CAUTIz -0.395
  • SSIz 0.522
  • CDIz 0.427
  • 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 fate0.4463-0.63220.03350.6657
CAUTI-0.3954-0.46450.15300.6175
MRSA-1.4573-0.31060.30310.6137
CDI0.4274-0.6255-0.01630.6092
CLABSI-1.4065-0.31060.29720.6078
SSI0.5220-0.6403-0.03560.6047

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): 27.2th

Score distributionThreshold 0.3792Hospital -0.3106

Hospital score -0.3106. Penalty threshold 0.3792. Distribution of 46 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 27.1th

Score distributionThreshold 0.3792Hospital -0.3106

Hospital score -0.3106. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3106; 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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