HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST ELIZABETH FT THOMAS
KY · Facility ID 180001 · FY2026
Total HAC Score
-0.0730
Percentile
48.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0730. 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 0.175
- CLABSIz -0.602
- CAUTIz 0.930
- SSIz 0.209
- CDIz -0.781
- MRSAz -0.370
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.1755 | -0.3495 | 0.3162 | 0.6658 |
| CAUTI | 0.9304 | -0.4479 | 0.1696 | 0.6175 |
| MRSA | -0.3705 | -0.2542 | 0.3596 | 0.6137 |
| CDI | -0.7807 | -0.1866 | 0.4226 | 0.6092 |
| CLABSI | -0.6015 | -0.2072 | 0.4006 | 0.6078 |
| SSI | 0.2086 | -0.3505 | 0.2541 | 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 KY (56 scored): 34.8th
Hospital score -0.0730. Penalty threshold 0.3792. Distribution of 56 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 45.5th
Hospital score -0.0730. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0730; 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.