Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

EVERGREENHEALTH MEDICAL CENTER

WA · Facility ID 500124 · FY2026

Total HAC Score

-0.3875

Percentile

26.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3875

Hospital score -0.3875. 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 -1.483
  • CLABSIz -0.664
  • CAUTIz 0.593
  • SSIz -0.818
  • CDIz 0.207
  • MRSAz -0.159

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-1.4834-0.38750.27830.6658
CAUTI0.5929-0.7060-0.08860.6175
MRSA-0.1594-0.60380.00990.6137
CDI0.2067-0.6656-0.05640.6092
CLABSI-0.6641-0.51120.09660.6078
SSI-0.8175-0.49400.11070.6047

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): 18.5th

Score distributionThreshold 0.3792Hospital -0.3875

Hospital score -0.3875. Penalty threshold 0.3792. Distribution of 46 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 21.6th

Score distributionThreshold 0.3792Hospital -0.3875

Hospital score -0.3875. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3875; 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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