HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
HCA FLORIDA WEST HOSPITAL
FL · Facility ID 100231 · FY2026
Total HAC Score
-0.6202
Percentile
14.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.6202. 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 -0.767
- CLABSIz -0.919
- CAUTIz -0.991
- SSIz 0.805
- CDIz -1.369
- MRSAz -0.479
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.7673 | -0.7395 | -0.0738 | 0.6658 |
| CAUTI | -0.9908 | -0.6748 | -0.0573 | 0.6175 |
| MRSA | -0.4792 | -0.7832 | -0.1695 | 0.6137 |
| CDI | -1.3692 | -0.6357 | -0.0265 | 0.6092 |
| CLABSI | -0.9193 | -0.7014 | -0.0936 | 0.6078 |
| SSI | 0.8047 | -0.9971 | -0.3924 | 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): 16.1th
Hospital score -0.6202. Penalty threshold 0.3792. Distribution of 165 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 9.0th
Hospital score -0.6202. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.6202; 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.