HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
DEACONESS HENDERSON HOSPITAL
KY · Facility ID 180056 · FY2026
Total HAC Score
-0.0870
Percentile
47.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0870. 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 0.009
- CLABSIz 1.022
- CAUTIz -1.319
- SSIz 0.926
- CDIz -0.626
- MRSAz -0.536
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0091 | -0.3358 | 0.3300 | 0.6658 |
| CAUTI | -1.3186 | -0.0870 | 0.5304 | 0.6175 |
| MRSA | -0.5356 | -0.2407 | 0.3731 | 0.6137 |
| CDI | -0.6258 | -0.2264 | 0.3828 | 0.6092 |
| CLABSI | 1.0223 | -0.4919 | 0.1159 | 0.6078 |
| SSI | 0.9263 | -0.4842 | 0.1205 | 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): 33.0th
Hospital score -0.0870. Penalty threshold 0.3792. Distribution of 56 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 44.3th
Hospital score -0.0870. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0870; 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.