Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

← All audits

Hospital audit

ADVOCATE SHERMAN HOSPITAL

IL · Facility ID 140030 · FY2026

Total HAC Score

-0.2428

Percentile

36.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2428

Hospital score -0.2428. 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 -1.199
  • CLABSIz -0.298
  • CAUTIz 0.277
  • SSIz 0.911
  • CDIz -0.134
  • MRSAz -1.014

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-1.1989-0.29020.37550.6658
CAUTI0.2771-0.50870.10870.6175
MRSA-1.0142-0.31660.29710.6137
CDI-0.1340-0.46420.14510.6092
CLABSI-0.2976-0.42760.18020.6078
SSI0.9109-0.6374-0.03270.6047

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): 31.7th

Score distributionThreshold 0.3792Hospital -0.2428

Hospital score -0.2428. Penalty threshold 0.3792. Distribution of 112 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 32.0th

Score distributionThreshold 0.3792Hospital -0.2428

Hospital score -0.2428. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2428; 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.

Scan a hospital system →