HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SAINT LUKE'S EAST HOSPITAL
MO · Facility ID 260216 · FY2026
Total HAC Score
-0.0568
Percentile
49.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0568. 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 -0.922
- CLABSIz 0.702
- CAUTIz 1.345
- SSIz -0.514
- CDIz -0.428
- MRSAz -0.523
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.9223 | -0.1503 | 0.5154 | 0.6657 |
| CAUTI | 1.3450 | -0.5007 | 0.1167 | 0.6175 |
| MRSA | -0.5231 | -0.2125 | 0.4012 | 0.6137 |
| CDI | -0.4283 | -0.2291 | 0.3801 | 0.6092 |
| CLABSI | 0.7022 | -0.4083 | 0.1995 | 0.6078 |
| SSI | -0.5143 | -0.2138 | 0.3909 | 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): 46.0th
Hospital score -0.0568. Penalty threshold 0.3792. Distribution of 62 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 46.8th
Hospital score -0.0568. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0568; 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.