HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SAINT JOSEPH HOSPITAL
CO · Facility ID 060028 · FY2026
Total HAC Score
-0.0708
Percentile
48.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0708. 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 0.427
- CLABSIz -0.425
- CAUTIz -1.017
- SSIz 0.341
- CDIz 0.358
- MRSAz -0.107
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.4268 | -0.3892 | 0.2766 | 0.6658 |
| CAUTI | -1.0173 | -0.1210 | 0.4965 | 0.6175 |
| MRSA | -0.1072 | -0.2958 | 0.3179 | 0.6137 |
| CDI | 0.3577 | -0.3741 | 0.2351 | 0.6092 |
| CLABSI | -0.4252 | -0.2343 | 0.3735 | 0.6078 |
| SSI | 0.3405 | -0.3703 | 0.2344 | 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): 58.2th
Hospital score -0.0708. Penalty threshold 0.3792. Distribution of 49 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 46.0th
Hospital score -0.0708. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0708; 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.