HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
CHI HEALTH MERCY COUNCIL BLUFFS
IA · Facility ID 160028 · FY2026
Total HAC Score
-0.0259
Percentile
51.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0259. 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 -0.975
- CLABSIz 0.148
- CAUTIz 1.625
- SSIz 0.786
- CDIz -0.281
- MRSAz -1.457
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.9750 | -0.1106 | 0.5551 | 0.6658 |
| CAUTI | 1.6246 | -0.5164 | 0.1011 | 0.6175 |
| MRSA | -1.4573 | -0.0259 | 0.5878 | 0.6137 |
| CDI | -0.2812 | -0.2227 | 0.3865 | 0.6092 |
| CLABSI | 0.1478 | -0.2849 | 0.3229 | 0.6078 |
| SSI | 0.7858 | -0.3996 | 0.2051 | 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 IA (30 scored): 31.7th
Hospital score -0.0259. Penalty threshold 0.3792. Distribution of 30 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 49.4th
Hospital score -0.0259. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0259; 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.