HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
HSHS ST ELIZABETH'S HOSPITAL
IL · Facility ID 140187 · FY2026
Total HAC Score
-0.7775
Percentile
9.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.7775. 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 -0.140
- CLABSIz -1.191
- CAUTIz -0.721
- SSIz -1.224
- CDIz -0.831
- MRSAz -0.559
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.1403 | -1.0013 | -0.3356 | 0.6658 |
| CAUTI | -0.7208 | -0.8771 | -0.2596 | 0.6175 |
| MRSA | -0.5586 | -0.9273 | -0.3135 | 0.6137 |
| CDI | -0.8310 | -0.8827 | -0.2735 | 0.6092 |
| CLABSI | -1.1907 | -0.8135 | -0.2057 | 0.6078 |
| SSI | -1.2235 | -0.8163 | -0.2116 | 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): 7.6th
Hospital score -0.7775. Penalty threshold 0.3792. Distribution of 112 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 4.7th
Hospital score -0.7775. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.7775; 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.