HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
UCH-MEMORIAL HEALTH SYSTEM
CO · Facility ID 060022 · FY2026
Total HAC Score
-0.1800
Percentile
40.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1800. 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 -0.321
- CAUTIz 0.082
- SSIz 1.026
- CDIz 0.180
- MRSAz -0.563
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.4834 | -0.1800 | 0.4858 | 0.6657 |
| CAUTI | 0.0819 | -0.4134 | 0.2041 | 0.6175 |
| MRSA | -0.5628 | -0.3291 | 0.2847 | 0.6137 |
| CDI | 0.1796 | -0.4536 | 0.1556 | 0.6092 |
| CLABSI | -0.3208 | -0.3609 | 0.2469 | 0.6078 |
| SSI | 1.0257 | -0.5937 | 0.0110 | 0.6047 |
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 CO (49 scored): 43.9th
Hospital score -0.1800. Penalty threshold 0.3792. Distribution of 49 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 37.4th
Hospital score -0.1800. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1800; 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.