Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

JOHN H STROGER JR HOSPITAL

IL · Facility ID 140124 · FY2026

Total HAC Score

-0.0555

Percentile

49.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0555

Hospital score -0.0555. 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 -0.551
  • CLABSIz 0.125
  • CAUTIz 0.026
  • SSIz -0.114
  • CDIz 0.238
  • MRSAz -0.057

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-0.5509-0.21090.45490.6658
CAUTI0.0265-0.27960.33790.6175
MRSA-0.0570-0.28880.32490.6137
CDI0.2377-0.33870.27050.6092
CLABSI0.1246-0.31060.29720.6078
SSI-0.1135-0.27930.32540.6047

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): 46.0th

Score distributionThreshold 0.3792Hospital -0.0555

Hospital score -0.0555. Penalty threshold 0.3792. Distribution of 112 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 47.0th

Score distributionThreshold 0.3792Hospital -0.0555

Hospital score -0.0555. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0555; 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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