HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
KOOTENAI HEALTH
ID · Facility ID 130049 · FY2026
Total HAC Score
-0.0963
Percentile
46.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0963. 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 1.523
- CLABSIz -0.564
- CAUTIz -0.783
- SSIz 0.827
- CDIz -0.541
- MRSAz -1.039
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 1.5231 | -0.5974 | 0.0684 | 0.6658 |
| CAUTI | -0.7835 | -0.1855 | 0.4320 | 0.6175 |
| MRSA | -1.0393 | -0.1660 | 0.4478 | 0.6137 |
| CDI | -0.5406 | -0.2499 | 0.3593 | 0.6092 |
| CLABSI | -0.5644 | -0.2366 | 0.3712 | 0.6078 |
| SSI | 0.8270 | -0.4769 | 0.1278 | 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 ID (15 scored): 50.0th
Hospital score -0.0963. Penalty threshold 0.3792. Distribution of 15 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 43.6th
Hospital score -0.0963. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0963; 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.