Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

LUTHERAN HOSPITAL OF INDIANA

IN · Facility ID 150017 · FY2026

Total HAC Score

-0.5179

Percentile

19.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5179

Hospital score -0.5179. 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 -1.227
  • CLABSIz -0.581
  • CAUTIz 0.029
  • SSIz -0.240
  • CDIz 0.118
  • MRSAz -1.206

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-1.2266-0.56070.10500.6658
CAUTI0.0289-0.7425-0.12500.6175
MRSA-1.2065-0.55970.05400.6137
CDI0.1176-0.7812-0.17200.6092
CLABSI-0.5806-0.6555-0.04780.6078
SSI-0.2402-0.7206-0.11590.6047

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 IN (80 scored): 23.1th

Score distributionThreshold 0.3792Hospital -0.5179

Hospital score -0.5179. Penalty threshold 0.3792. Distribution of 80 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 13.7th

Score distributionThreshold 0.3792Hospital -0.5179

Hospital score -0.5179. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5179; 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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