Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MORRIS HOSPITAL & HEALTHCARE CENTERS

IL · Facility ID 140101 · FY2026

Total HAC Score

-0.7650

Percentile

10.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7650

Hospital score -0.7650. 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 -0.578
  • CLABSIz -0.632
  • CAUTIz -0.538
  • SSIz -1.456
  • CDIz 0.071
  • 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-0.5782-0.9159-0.25010.6658
CAUTI-0.5376-0.8952-0.27770.6175
MRSA-1.4573-0.7650-0.15130.6137
CDI0.0712-1.0206-0.41140.6092
CLABSI-0.6317-0.8941-0.28640.6078
SSI-1.4565-0.7650-0.16030.6047

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): 8.5th

Score distributionThreshold 0.3792Hospital -0.7650

Hospital score -0.7650. Penalty threshold 0.3792. Distribution of 112 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 5.2th

Score distributionThreshold 0.3792Hospital -0.7650

Hospital score -0.7650. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7650; 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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