Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ALEXIAN BROTHERS MEDICAL CENTER 1

IL · Facility ID 140258 · FY2026

Total HAC Score

-0.2019

Percentile

38.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2019

Hospital score -0.2019. 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 -0.109
  • CLABSIz -0.182
  • CAUTIz 0.048
  • SSIz 0.551
  • CDIz -0.928
  • MRSAz -0.592

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-0.1094-0.43090.23480.6657
CAUTI0.0481-0.42970.18780.6175
MRSA-0.5920-0.34610.26760.6137
CDI-0.9278-0.29100.31820.6092
CLABSI-0.1816-0.40610.20170.6078
SSI0.5512-0.53650.06820.6047

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): 35.3th

Score distributionThreshold 0.3792Hospital -0.2019

Hospital score -0.2019. Penalty threshold 0.3792. Distribution of 112 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 35.2th

Score distributionThreshold 0.3792Hospital -0.2019

Hospital score -0.2019. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2019; 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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