HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
CLEVELAND CLINIC INDIAN RIVER HOSPITAL
FL · Facility ID 100105 · FY2026
Total HAC Score
-0.1891
Percentile
39.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1891. 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 -0.462
- CAUTIz 0.571
- SSIz 0.527
- CDIz 0.447
- MRSAz -0.734
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 | -0.1891 | 0.4766 | 0.6657 |
| CAUTI | 0.5712 | -0.5041 | 0.1134 | 0.6175 |
| MRSA | -0.7342 | -0.3096 | 0.3041 | 0.6137 |
| CDI | 0.4468 | -0.5073 | 0.1019 | 0.6092 |
| CLABSI | -0.4623 | -0.3465 | 0.2613 | 0.6078 |
| SSI | 0.5272 | -0.5197 | 0.0850 | 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): 51.2th
Hospital score -0.1891. Penalty threshold 0.3792. Distribution of 165 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 36.6th
Hospital score -0.1891. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1891; 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.