HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
DEACONESS HOSPITAL INC
IN · Facility ID 150082 · FY2026
Total HAC Score
-0.2540
Percentile
35.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2540. 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 0.660
- CLABSIz -0.810
- CAUTIz -0.658
- SSIz -0.708
- CDIz -0.153
- MRSAz 0.146
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.6600 | -0.6112 | 0.0545 | 0.6658 |
| CAUTI | -0.6581 | -0.3641 | 0.2534 | 0.6175 |
| MRSA | 0.1457 | -0.5212 | 0.0926 | 0.6137 |
| CDI | -0.1534 | -0.4721 | 0.1371 | 0.6092 |
| CLABSI | -0.8103 | -0.3534 | 0.2544 | 0.6078 |
| SSI | -0.7079 | -0.3788 | 0.2259 | 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 IN (80 scored): 40.6th
Hospital score -0.2540. Penalty threshold 0.3792. Distribution of 80 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 31.3th
Hospital score -0.2540. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2540; 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.