HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL
IL · Facility ID 140286 · FY2026
Total HAC Score
-0.3127
Percentile
31.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3127. 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 -1.293
- CLABSIz -0.135
- CAUTIz -1.319
- SSIz -0.770
- CDIz -0.583
- MRSAz 2.223
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.2926 | -0.3445 | 0.3212 | 0.6658 |
| CAUTI | -1.3186 | -0.3127 | 0.3048 | 0.6175 |
| MRSA | 2.2230 | -0.9261 | -0.3123 | 0.6137 |
| CDI | -0.5832 | -0.4592 | 0.1500 | 0.6092 |
| CLABSI | -0.1352 | -0.5246 | 0.0832 | 0.6078 |
| SSI | -0.7696 | -0.4272 | 0.1775 | 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): 29.9th
Hospital score -0.3127. Penalty threshold 0.3792. Distribution of 112 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 27.0th
Hospital score -0.3127. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3127; 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.