HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SSM HEALTH DEPAUL HOSPITAL ST LOUIS
MO · Facility ID 260104 · FY2026
Total HAC Score
-0.5429
Percentile
18.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5429. 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 -1.180
- CLABSIz 0.120
- CAUTIz -1.319
- SSIz -0.792
- CDIz -0.974
- MRSAz 0.888
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.1800 | -0.5934 | 0.0723 | 0.6657 |
| CAUTI | -1.3186 | -0.5429 | 0.0746 | 0.6175 |
| MRSA | 0.8876 | -0.9337 | -0.3200 | 0.6137 |
| CDI | -0.9743 | -0.6242 | -0.0150 | 0.6092 |
| CLABSI | 0.1199 | -0.7973 | -0.1895 | 0.6078 |
| SSI | -0.7918 | -0.6536 | -0.0490 | 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 MO (62 scored): 13.7th
Hospital score -0.5429. Penalty threshold 0.3792. Distribution of 62 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 12.1th
Hospital score -0.5429. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5429; 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.