Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

CHI HEALTH GOOD SAMARITAN

NE · Facility ID 280009 · FY2026

Total HAC Score

-0.5984

Percentile

15.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5984

Hospital score -0.5984. 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 -0.052
  • CLABSIz -0.910
  • CAUTIz -1.319
  • SSIz 0.030
  • CDIz -0.510
  • MRSAz -0.830

Fragility

Each reported measure moves the score by 0.1667 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate-0.0523-0.8369-0.17120.6657
CAUTI-1.3186-0.59840.01910.6175
MRSA-0.8303-0.7029-0.08920.6137
CDI-0.5096-0.7572-0.14800.6092
CLABSI-0.9100-0.6812-0.07340.6078
SSI0.0304-0.8462-0.24150.6047

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 NE (24 scored): 18.8th

Score distributionThreshold 0.3792Hospital -0.5984

Hospital score -0.5984. Penalty threshold 0.3792. Distribution of 24 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 9.5th

Score distributionThreshold 0.3792Hospital -0.5984

Hospital score -0.5984. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5984; 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.

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