HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL
IL · Facility ID 140211 · FY2026
Total HAC Score
-0.5048
Percentile
20.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5048. 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 -1.012
- CAUTIz 0.880
- SSIz -0.499
- CDIz -0.029
- MRSAz -0.885
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.4834 | -0.5048 | 0.1610 | 0.6657 |
| CAUTI | 0.8798 | -0.8712 | -0.2537 | 0.6175 |
| MRSA | -0.8846 | -0.6002 | 0.0135 | 0.6137 |
| CDI | -0.0295 | -0.7436 | -0.1343 | 0.6092 |
| CLABSI | -1.0121 | -0.5705 | 0.0373 | 0.6078 |
| SSI | -0.4989 | -0.6644 | -0.0597 | 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): 21.0th
Hospital score -0.5048. Penalty threshold 0.3792. Distribution of 112 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 14.7th
Hospital score -0.5048. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5048; 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.