HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ADVENTHEALTH DELAND
FL · Facility ID 100045 · FY2026
Total HAC Score
-0.2920
Percentile
32.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2920. 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 0.946
- CLABSIz -1.058
- CAUTIz -0.892
- SSIz -0.764
- CDIz -0.676
- MRSAz 0.693
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.9456 | -0.6969 | -0.0311 | 0.6658 |
| CAUTI | -0.8920 | -0.3631 | 0.2543 | 0.6175 |
| MRSA | 0.6932 | -0.6505 | -0.0367 | 0.6137 |
| CDI | -0.6761 | -0.4231 | 0.1862 | 0.6092 |
| CLABSI | -1.0585 | -0.3500 | 0.2577 | 0.6078 |
| SSI | -0.7644 | -0.4074 | 0.1973 | 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 FL (165 scored): 44.5th
Hospital score -0.2920. Penalty threshold 0.3792. Distribution of 165 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 28.7th
Hospital score -0.2920. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2920; 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.