Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

VISTA MEDICAL CENTER EAST

IL · Facility ID 140084 · FY2026

Total HAC Score

-0.6736

Percentile

13.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.6736

Hospital score -0.6736. 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 -0.750
  • CLABSIz -0.379
  • CAUTIz -1.319
  • SSIz -1.456
  • CDIz 0.482
  • MRSAz -0.619

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-0.7498-0.7958-0.13010.6657
CAUTI-1.3186-0.6735-0.05610.6175
MRSA-0.6192-0.8132-0.19950.6137
CDI0.4816-0.9975-0.38830.6092
CLABSI-0.3788-0.8448-0.23700.6078
SSI-1.4565-0.6735-0.06880.6047

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): 11.2th

Score distributionThreshold 0.3792Hospital -0.6736

Hospital score -0.6736. Penalty threshold 0.3792. Distribution of 112 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 7.7th

Score distributionThreshold 0.3792Hospital -0.6736

Hospital score -0.6736. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.6736; 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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