HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER DOWN
IA · Facility ID 160029 · FY2026
Total HAC Score
-0.4889
Percentile
20.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4889. 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 -0.017
- CLABSIz -1.407
- CAUTIz -0.077
- SSIz -0.631
- CDIz -0.467
- MRSAz -0.335
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.0171 | -0.7333 | -0.0676 | 0.6657 |
| CAUTI | -0.0772 | -0.6958 | -0.0783 | 0.6175 |
| MRSA | -0.3350 | -0.6760 | -0.0622 | 0.6137 |
| CDI | -0.4670 | -0.6548 | -0.0456 | 0.6092 |
| CLABSI | -1.4065 | -0.4889 | 0.1189 | 0.6078 |
| SSI | -0.6308 | -0.6265 | -0.0218 | 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): 11.7th
Hospital score -0.4889. Penalty threshold 0.3792. Distribution of 30 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 15.3th
Hospital score -0.4889. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4889; 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.