HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL
MI · Facility ID 230005 · FY2026
Total HAC Score
-0.1501
Percentile
42.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1501. 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 0.221
- CLABSIz -1.407
- CAUTIz -1.319
- SSIz -1.456
- CDIz 0.877
- MRSAz 2.183
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.2209 | -0.4342 | 0.2316 | 0.6657 |
| CAUTI | -1.3186 | -0.1501 | 0.4673 | 0.6175 |
| MRSA | 2.1833 | -0.7569 | -0.1432 | 0.6137 |
| CDI | 0.8766 | -0.5399 | 0.0693 | 0.6092 |
| CLABSI | -1.4065 | -0.1501 | 0.4576 | 0.6078 |
| SSI | -1.4565 | -0.1501 | 0.4546 | 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 MI (88 scored): 34.7th
Hospital score -0.1501. Penalty threshold 0.3792. Distribution of 88 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 39.8th
Hospital score -0.1501. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1501; 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.