HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER
GA · Facility ID 110035 · FY2026
Total HAC Score
-0.0488
Percentile
49.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0488. 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 0.121
- CLABSIz -0.086
- CAUTIz -0.865
- SSIz -0.117
- CDIz -0.107
- MRSAz 0.762
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.1206 | -0.3161 | 0.3496 | 0.6657 |
| CAUTI | -0.8654 | -0.1244 | 0.4931 | 0.6175 |
| MRSA | 0.7622 | -0.4187 | 0.1950 | 0.6137 |
| CDI | -0.1069 | -0.2747 | 0.3345 | 0.6092 |
| CLABSI | -0.0865 | -0.2688 | 0.3390 | 0.6078 |
| SSI | -0.1169 | -0.2721 | 0.3326 | 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 GA (89 scored): 39.9th
Hospital score -0.0488. Penalty threshold 0.3792. Distribution of 89 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 47.4th
Hospital score -0.0488. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0488; 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.