Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ALTON MEMORIAL HOSPITAL

IL · Facility ID 140002 · FY2026

Total HAC Score

-0.7400

Percentile

11.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7400

Hospital score -0.7400. 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 -1.297
  • CLABSIz -1.021
  • CAUTIz -0.675
  • SSIz -0.819
  • CDIz 0.830
  • MRSAz -1.457

Fragility

Each reported measure moves the score by 0.1667 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate-1.2973-0.7710-0.10530.6657
CAUTI-0.6750-0.8473-0.22980.6175
MRSA-1.4573-0.7400-0.12630.6137
CDI0.8301-1.1221-0.51280.6092
CLABSI-1.0214-0.8042-0.19640.6078
SSI-0.8192-0.8462-0.24150.6047

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 IL (112 scored): 9.4th

Score distributionThreshold 0.3792Hospital -0.7400

Hospital score -0.7400. Penalty threshold 0.3792. Distribution of 112 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 5.6th

Score distributionThreshold 0.3792Hospital -0.7400

Hospital score -0.7400. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7400; 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.

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