HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
UNIVERSITY OF KANSAS HEALTH SYSTEM - ST FRANCIS CAMPUS
KS · Facility ID 170016 · FY2026
Total HAC Score
-0.1900
Percentile
39.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1900. 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 -0.604
- CLABSIz 0.463
- CAUTIz -0.728
- SSIz -0.271
- CDIz 1.457
- MRSAz -1.457
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.6042 | -0.3365 | 0.3292 | 0.6658 |
| CAUTI | -0.7280 | -0.2884 | 0.3291 | 0.6175 |
| MRSA | -1.4573 | -0.1900 | 0.4237 | 0.6137 |
| CDI | 1.4574 | -0.6766 | -0.0674 | 0.6092 |
| CLABSI | 0.4633 | -0.5016 | 0.1062 | 0.6078 |
| SSI | -0.2711 | -0.3876 | 0.2171 | 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 KS (44 scored): 48.9th
Hospital score -0.1900. Penalty threshold 0.3792. Distribution of 44 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 36.5th
Hospital score -0.1900. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1900; 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.