HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST LUKES HOSPITAL
IA · Facility ID 160045 · FY2026
Total HAC Score
-0.0122
Percentile
52.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0122. 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 1.647
- CLABSIz -0.525
- CAUTIz 0.793
- SSIz -1.158
- CDIz 0.408
- MRSAz -1.238
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 1.6468 | -0.5339 | 0.1318 | 0.6657 |
| CAUTI | 0.7930 | -0.3642 | 0.2533 | 0.6175 |
| MRSA | -1.2378 | -0.0488 | 0.5649 | 0.6137 |
| CDI | 0.4080 | -0.3239 | 0.2853 | 0.6092 |
| CLABSI | -0.5250 | -0.1592 | 0.4486 | 0.6078 |
| SSI | -1.1584 | -0.0619 | 0.5428 | 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): 35.0th
Hospital score -0.0122. Penalty threshold 0.3792. Distribution of 30 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 50.1th
Hospital score -0.0122. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0122; 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.