HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI
IA · Facility ID 160082 · FY2026
Total HAC Score
-0.1312
Percentile
43.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1312. 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 0.173
- CLABSIz -0.226
- CAUTIz -0.439
- SSIz -0.900
- CDIz 0.671
- MRSAz -0.068
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.1734 | -0.4073 | 0.2585 | 0.6658 |
| CAUTI | -0.4388 | -0.2778 | 0.3397 | 0.6175 |
| MRSA | -0.0675 | -0.3628 | 0.2509 | 0.6137 |
| CDI | 0.6713 | -0.4867 | 0.1225 | 0.6092 |
| CLABSI | -0.2257 | -0.3280 | 0.2798 | 0.6078 |
| SSI | -0.8997 | -0.2240 | 0.3807 | 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): 25.0th
Hospital score -0.1312. Penalty threshold 0.3792. Distribution of 30 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 41.0th
Hospital score -0.1312. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1312; 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.