HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
CLEVELAND CLINIC HOSPITAL
FL · Facility ID 100289 · FY2026
Total HAC Score
-0.1612
Percentile
41.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1612. 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 -0.321
- CLABSIz -0.924
- CAUTIz -0.776
- SSIz 0.500
- CDIz 0.056
- MRSAz 0.499
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.3214 | -0.3549 | 0.3109 | 0.6657 |
| CAUTI | -0.7762 | -0.2516 | 0.3659 | 0.6175 |
| MRSA | 0.4989 | -0.4872 | 0.1265 | 0.6137 |
| CDI | 0.0557 | -0.4142 | 0.1950 | 0.6092 |
| CLABSI | -0.9240 | -0.2416 | 0.3662 | 0.6078 |
| SSI | 0.4998 | -0.4872 | 0.1174 | 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): 53.6th
Hospital score -0.1612. Penalty threshold 0.3792. Distribution of 165 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 38.8th
Hospital score -0.1612. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1612; 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.