HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
M HEALTH FAIRVIEW ST JOHN'S HOSPITAL
MN · Facility ID 240210 · FY2026
Total HAC Score
-0.5473
Percentile
17.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5473. 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 -0.667
- CLABSIz -1.014
- CAUTIz 0.533
- SSIz -0.353
- CDIz -0.324
- MRSAz -1.457
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.6675 | -0.6833 | -0.0175 | 0.6658 |
| CAUTI | 0.5327 | -0.8558 | -0.2383 | 0.6175 |
| MRSA | -1.4573 | -0.5473 | 0.0665 | 0.6137 |
| CDI | -0.3238 | -0.7370 | -0.1278 | 0.6092 |
| CLABSI | -1.0144 | -0.6126 | -0.0048 | 0.6078 |
| SSI | -0.3533 | -0.7311 | -0.1264 | 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 MN (45 scored): 7.8th
Hospital score -0.5473. Penalty threshold 0.3792. Distribution of 45 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 11.7th
Hospital score -0.5473. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5473; 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.