HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MERCYONE NORTH IOWA MEDICAL CENTER
IA · Facility ID 160064 · FY2026
Total HAC Score
-0.3912
Percentile
26.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3912. 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 0.055
- CLABSIz -0.332
- CAUTIz 0.128
- SSIz -0.778
- CDIz -0.719
- MRSAz -0.701
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0550 | -0.6476 | 0.0181 | 0.6658 |
| CAUTI | 0.1277 | -0.6322 | -0.0148 | 0.6175 |
| MRSA | -0.7007 | -0.5173 | 0.0964 | 0.6137 |
| CDI | -0.7187 | -0.5151 | 0.0941 | 0.6092 |
| CLABSI | -0.3324 | -0.5702 | 0.0376 | 0.6078 |
| SSI | -0.7781 | -0.5043 | 0.1004 | 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): 18.3th
Hospital score -0.3912. Penalty threshold 0.3792. Distribution of 30 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 21.4th
Hospital score -0.3912. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3912; 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.