Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

UCHICAGO MEDICINE ADVENTHEALTH HINSDALE

IL · Facility ID 140122 · FY2026

Total HAC Score

-0.1080

Percentile

45.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1080

Hospital score -0.1080. 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 -1.483
  • CLABSIz 0.677
  • CAUTIz 0.094
  • SSIz 0.743
  • CDIz -0.049
  • MRSAz -0.630

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-1.4834-0.10810.55770.6657
CAUTI0.0939-0.34350.27400.6175
MRSA-0.6297-0.24600.36770.6137
CDI-0.0489-0.34360.26560.6092
CLABSI0.6767-0.45530.15250.6078
SSI0.7430-0.47470.13000.6047

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): 40.6th

Score distributionThreshold 0.3792Hospital -0.1080

Hospital score -0.1080. Penalty threshold 0.3792. Distribution of 112 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 42.8th

Score distributionThreshold 0.3792Hospital -0.1080

Hospital score -0.1080. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1080; 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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