HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SAINT LUKE'S SOUTH HOSPITAL
KS · Facility ID 170185 · FY2026
Total HAC Score
-0.2862
Percentile
33.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2862. 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 -0.548
- CLABSIz -1.407
- CAUTIz 2.001
- SSIz -0.761
- CDIz 0.455
- 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 | -0.5479 | -0.4422 | 0.2236 | 0.6657 |
| CAUTI | 2.0007 | -0.8395 | -0.2220 | 0.6175 |
| MRSA | -1.4573 | -0.2863 | 0.3275 | 0.6137 |
| CDI | 0.4545 | -0.6057 | 0.0035 | 0.6092 |
| CLABSI | -1.4065 | -0.2863 | 0.3215 | 0.6078 |
| SSI | -0.7610 | -0.4022 | 0.2025 | 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): 44.3th
Hospital score -0.2862. Penalty threshold 0.3792. Distribution of 44 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 28.9th
Hospital score -0.2862. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2862; 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.