HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER
MO · Facility ID 260102 · FY2026
Total HAC Score
-0.2779
Percentile
33.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2779. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.171
- CLABSIN/A
- CAUTIz -1.319
- SSIz 2.172
- CDIz -0.614
- MRSAz -1.457
Fragility
Each reported measure moves the score by 0.2000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.1709 | -0.5404 | 0.2585 | 0.7989 |
| CAUTI | -1.3186 | -0.2779 | 0.4631 | 0.7410 |
| MRSA | -1.4573 | -0.2779 | 0.4586 | 0.7365 |
| CDI | -0.6142 | -0.4475 | 0.2836 | 0.7311 |
| SSI | 2.1717 | -1.0035 | -0.2779 | 0.7256 |
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 MO (62 scored): 33.1th
Hospital score -0.2779. Penalty threshold 0.3792. Distribution of 62 scored hospitals.
Percentile among hospitals with 5 reported measures (220 scored): 36.1th
Hospital score -0.2779. Penalty threshold 0.3792. Distribution of 220 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2779; threshold 0.3792).
Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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.