Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

SAINT ANTHONY MEDICAL CENTER

IL · Facility ID 140233 · FY2026

Total HAC Score

-0.0725

Percentile

48.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0725

Hospital score -0.0725. 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 -0.540
  • CLABSIz 0.078
  • CAUTIz -0.048
  • SSIz 1.403
  • CDIz -0.246
  • MRSAz -1.081

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-0.5403-0.22970.43600.6658
CAUTI-0.0483-0.28430.33320.6175
MRSA-1.0811-0.13520.47850.6137
CDI-0.2463-0.27520.33400.6092
CLABSI0.0782-0.32000.28780.6078
SSI1.4025-0.54900.05570.6047

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): 44.2th

Score distributionThreshold 0.3792Hospital -0.0725

Hospital score -0.0725. Penalty threshold 0.3792. Distribution of 112 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 45.6th

Score distributionThreshold 0.3792Hospital -0.0725

Hospital score -0.0725. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0725; 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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