Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

HOLY CROSS HOSPITAL

IL · Facility ID 140133 · FY2026

Total HAC Score

-0.0473

Percentile

49.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0473

Hospital score -0.0473. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.408
  • CLABSIz 0.507
  • CAUTIz -0.169
  • SSIN/A
  • CDIz 0.245
  • MRSAz -0.412

Fragility

Each reported measure moves the score by 0.2000 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-0.4081-0.26240.53650.7989
CAUTI-0.1688-0.27730.46370.7410
MRSA-0.4123-0.25630.48020.7365
CDI0.2454-0.38880.34220.7311
CLABSI0.5073-0.43010.29930.7293

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): 46.9th

Score distributionThreshold 0.3792Hospital -0.0473

Hospital score -0.0473. Penalty threshold 0.3792. Distribution of 112 scored hospitals.

Percentile among hospitals with 5 reported measures (220 scored): 49.3th

Score distributionThreshold 0.3792Hospital -0.0473

Hospital score -0.0473. Penalty threshold 0.3792. Distribution of 220 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0473; threshold 0.3792).

Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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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