HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
WINCHESTER HOSPITAL
MA · Facility ID 220105 · FY2026
Total HAC Score
-0.3854
Percentile
27.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3854. 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 -1.307
- CLABSIz -1.407
- CAUTIz -0.036
- SSIz 0.244
- CDIz 0.795
- MRSAz -0.603
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.3068 | -0.4148 | 0.2509 | 0.6658 |
| CAUTI | -0.0362 | -0.5991 | 0.0184 | 0.6175 |
| MRSA | -0.6025 | -0.5279 | 0.0859 | 0.6137 |
| CDI | 0.7952 | -0.7616 | -0.1524 | 0.6092 |
| CLABSI | -1.4065 | -0.3854 | 0.2224 | 0.6078 |
| SSI | 0.2445 | -0.6689 | -0.0642 | 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 MA (52 scored): 10.6th
Hospital score -0.3854. Penalty threshold 0.3792. Distribution of 52 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 21.8th
Hospital score -0.3854. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3854; 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.