HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
CHI HEALTH ST. ELIZABETH
NE · Facility ID 280020 · FY2026
Total HAC Score
-0.1314
Percentile
43.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1314. 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 -1.438
- CLABSIz 0.809
- CAUTIz 0.533
- SSIz -0.848
- CDIz 0.121
- MRSAz 0.035
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.4378 | -0.1390 | 0.5268 | 0.6657 |
| CAUTI | 0.5327 | -0.4399 | 0.1776 | 0.6175 |
| MRSA | 0.0349 | -0.3801 | 0.2337 | 0.6137 |
| CDI | 0.1215 | -0.3953 | 0.2139 | 0.6092 |
| CLABSI | 0.8089 | -0.5006 | 0.1072 | 0.6078 |
| SSI | -0.8484 | -0.2327 | 0.3720 | 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 NE (24 scored): 47.9th
Hospital score -0.1314. Penalty threshold 0.3792. Distribution of 24 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 40.9th
Hospital score -0.1314. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1314; 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.