HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
CHI HEALTH BERGAN MERCY
NE · Facility ID 280060 · FY2026
Total HAC Score
-0.5216
Percentile
19.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5216. 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 0.023
- CLABSIz -0.268
- CAUTIz -1.234
- SSIz -0.770
- CDIz -0.576
- MRSAz -0.306
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0227 | -0.7726 | -0.1069 | 0.6657 |
| CAUTI | -1.2342 | -0.5357 | 0.0818 | 0.6175 |
| MRSA | -0.3057 | -0.7136 | -0.0998 | 0.6137 |
| CDI | -0.5755 | -0.6694 | -0.0602 | 0.6092 |
| CLABSI | -0.2675 | -0.7115 | -0.1037 | 0.6078 |
| SSI | -0.7696 | -0.6361 | -0.0314 | 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): 27.1th
Hospital score -0.5216. Penalty threshold 0.3792. Distribution of 24 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 13.2th
Hospital score -0.5216. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5216; 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.