Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

NORTHWESTERN MEMORIAL HOSPITAL

IL · Facility ID 140281 · FY2026

Total HAC Score

-0.0964

Percentile

46.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0964

Hospital score -0.0964. 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 0.505
  • CAUTIz 0.340
  • SSIz -0.323
  • CDIz 0.455
  • MRSAz -0.072

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-1.4834-0.09640.56940.6658
CAUTI0.3398-0.37280.24470.6175
MRSA-0.0717-0.32730.28640.6137
CDI0.4545-0.41580.19340.6092
CLABSI0.5050-0.41500.19280.6078
SSI-0.3225-0.28540.31930.6047

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): 42.4th

Score distributionThreshold 0.3792Hospital -0.0964

Hospital score -0.0964. Penalty threshold 0.3792. Distribution of 112 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 43.5th

Score distributionThreshold 0.3792Hospital -0.0964

Hospital score -0.0964. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0964; 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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