Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

← All audits

Hospital audit

WESLEY MEDICAL CENTER

KS · Facility ID 170123 · FY2026

Total HAC Score

-0.5407

Percentile

18.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5407

Hospital score -0.5407. 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 -1.483
  • CLABSIz -0.718
  • CAUTIz -0.299
  • SSIz 0.349
  • CDIz -0.587
  • MRSAz -0.506

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 fate-1.4834-0.54070.12500.6657
CAUTI-0.2990-0.7107-0.09320.6175
MRSA-0.5064-0.6992-0.08550.6137
CDI-0.5871-0.6866-0.07740.6092
CLABSI-0.7175-0.6556-0.04780.6078
SSI0.3490-0.8417-0.23690.6047

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): 28.4th

Score distributionThreshold 0.3792Hospital -0.5407

Hospital score -0.5407. Penalty threshold 0.3792. Distribution of 44 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 12.1th

Score distributionThreshold 0.3792Hospital -0.5407

Hospital score -0.5407. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5407; 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 →