Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

← All audits

Hospital audit

MERCYONE NORTH IOWA MEDICAL CENTER

IA · Facility ID 160064 · FY2026

Total HAC Score

-0.3912

Percentile

26.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3912

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.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate0.0550-0.64760.01810.6658
CAUTI0.1277-0.6322-0.01480.6175
MRSA-0.7007-0.51730.09640.6137
CDI-0.7187-0.51510.09410.6092
CLABSI-0.3324-0.57020.03760.6078
SSI-0.7781-0.50430.10040.6047

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

Score distributionThreshold 0.3792Hospital -0.3912

Hospital score -0.3912. Penalty threshold 0.3792. Distribution of 30 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 21.4th

Score distributionThreshold 0.3792Hospital -0.3912

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.

Scan a hospital system →