Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

UCHICAGO MEDICINE ADVENTHEALTH GLENOAKS

IL · Facility ID 140292 · FY2026

Total HAC Score

-0.1044

Percentile

45.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1044

Hospital score -0.1044. 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 -0.938
  • CLABSIz 1.294
  • CAUTIz 0.251
  • SSIz -1.456
  • CDIz 0.478
  • MRSAz -0.254

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-0.9383-0.19520.47050.6657
CAUTI0.2506-0.36590.25160.6175
MRSA-0.2535-0.30500.30870.6137
CDI0.4777-0.42770.18150.6092
CLABSI1.2938-0.55440.05340.6078
SSI-1.4565-0.10440.50030.6047

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): 41.5th

Score distributionThreshold 0.3792Hospital -0.1044

Hospital score -0.1044. Penalty threshold 0.3792. Distribution of 112 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 43.1th

Score distributionThreshold 0.3792Hospital -0.1044

Hospital score -0.1044. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1044; 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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