HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
VIRTUA OUR LADY OF LOURDES HOSPITAL
NJ · Facility ID 310029 · FY2026
Total HAC Score
-0.1613
Percentile
41.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1613. 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 -0.937
- CLABSIz 0.018
- CAUTIz 0.648
- SSIz -0.156
- CDIz -0.417
- MRSAz -0.124
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.9373 | -0.2523 | 0.4134 | 0.6657 |
| CAUTI | 0.6484 | -0.4891 | 0.1283 | 0.6175 |
| MRSA | -0.1239 | -0.3836 | 0.2302 | 0.6137 |
| CDI | -0.4167 | -0.3356 | 0.2736 | 0.6092 |
| CLABSI | 0.0179 | -0.3987 | 0.2091 | 0.6078 |
| SSI | -0.1563 | -0.3780 | 0.2267 | 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 NJ (61 scored): 50.0th
Hospital score -0.1613. Penalty threshold 0.3792. Distribution of 61 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 38.7th
Hospital score -0.1613. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1613; 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.