HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
GREAT PLAINS HEALTH
NE · Facility ID 280065 · FY2026
Total HAC Score
-0.1667
Percentile
41.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1667. 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 -1.236
- CLABSIz 0.164
- CAUTIz 1.391
- SSIz -0.622
- CDIz 0.760
- MRSAz -1.457
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.2360 | -0.2080 | 0.4578 | 0.6657 |
| CAUTI | 1.3908 | -0.6183 | -0.0008 | 0.6175 |
| MRSA | -1.4573 | -0.1667 | 0.4470 | 0.6137 |
| CDI | 0.7604 | -0.5372 | 0.0721 | 0.6092 |
| CLABSI | 0.1640 | -0.4285 | 0.1793 | 0.6078 |
| SSI | -0.6222 | -0.3058 | 0.2989 | 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): 43.8th
Hospital score -0.1667. Penalty threshold 0.3792. Distribution of 24 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 38.6th
Hospital score -0.1667. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1667; 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.