HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
NORTHWESTERN LAKE FOREST HOSPITAL
IL · Facility ID 140130 · FY2026
Total HAC Score
-0.1778
Percentile
40.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1778. 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 0.596
- CLABSIz 0.078
- CAUTIz 0.161
- SSIz -0.636
- CDIz -0.254
- MRSAz -1.012
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.5960 | -0.5243 | 0.1414 | 0.6657 |
| CAUTI | 0.1614 | -0.4244 | 0.1931 | 0.6175 |
| MRSA | -1.0121 | -0.2520 | 0.3618 | 0.6137 |
| CDI | -0.2541 | -0.3791 | 0.2301 | 0.6092 |
| CLABSI | 0.0782 | -0.4252 | 0.1826 | 0.6078 |
| SSI | -0.6359 | -0.3145 | 0.2902 | 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): 36.2th
Hospital score -0.1778. Penalty threshold 0.3792. Distribution of 112 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 37.7th
Hospital score -0.1778. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1778; 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.