HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MACNEAL HOSPITAL
IL · Facility ID 140054 · FY2026
Total HAC Score
-0.2381
Percentile
36.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2381. 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 0.216
- CLABSIz 0.804
- CAUTIz -0.176
- SSIz -1.078
- CDIz -0.413
- MRSAz -0.782
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.2161 | -0.5213 | 0.1444 | 0.6657 |
| CAUTI | -0.1760 | -0.4285 | 0.1890 | 0.6175 |
| MRSA | -0.7822 | -0.3506 | 0.2631 | 0.6137 |
| CDI | -0.4128 | -0.4130 | 0.1962 | 0.6092 |
| CLABSI | 0.8043 | -0.6066 | 0.0012 | 0.6078 |
| SSI | -1.0779 | -0.3012 | 0.3035 | 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 IL (112 scored): 32.6th
Hospital score -0.2381. Penalty threshold 0.3792. Distribution of 112 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 32.4th
Hospital score -0.2381. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2381; 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.