HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI
MI · Facility ID 230019 · FY2026
Total HAC Score
-0.4037
Percentile
26.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4037. 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 -1.483
- CLABSIz 0.264
- CAUTIz -0.448
- SSIz 0.601
- CDIz -0.579
- MRSAz -0.776
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.4834 | -0.4038 | 0.2620 | 0.6658 |
| CAUTI | -0.4484 | -0.5488 | 0.0687 | 0.6175 |
| MRSA | -0.7760 | -0.5173 | 0.0964 | 0.6137 |
| CDI | -0.5793 | -0.5509 | 0.0583 | 0.6092 |
| CLABSI | 0.2638 | -0.6821 | -0.0743 | 0.6078 |
| SSI | 0.6008 | -0.7466 | -0.1419 | 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): 19.9th
Hospital score -0.4037. Penalty threshold 0.3792. Distribution of 88 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 20.7th
Hospital score -0.4037. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4037; 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.