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 LAKESIDE

NE · Facility ID 280130 · FY2026

Total HAC Score

-0.4107

Percentile

25.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4107

Hospital score -0.4107. 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 -0.969
  • CLABSIz -0.933
  • CAUTIz -0.591
  • SSIz -0.084
  • CDIz -0.618
  • MRSAz 0.731

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-0.9689-0.49650.16930.6657
CAUTI-0.5906-0.53210.08540.6175
MRSA0.7308-0.7754-0.16170.6137
CDI-0.6181-0.55140.05780.6092
CLABSI-0.9332-0.48960.11820.6078
SSI-0.0844-0.6394-0.03470.6047

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): 31.3th

Score distributionThreshold 0.3792Hospital -0.4107

Hospital score -0.4107. Penalty threshold 0.3792. Distribution of 24 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 20.2th

Score distributionThreshold 0.3792Hospital -0.4107

Hospital score -0.4107. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4107; 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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