HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
WAKEMED, RALEIGH CAMPUS
NC · Facility ID 340069 · FY2026
Total HAC Score
-0.2779
Percentile
33.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2779. 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 0.067
- CLABSIz -0.434
- CAUTIz -0.795
- SSIz 0.808
- CDIz -0.405
- MRSAz -0.908
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0672 | -0.5363 | 0.1294 | 0.6657 |
| CAUTI | -0.7955 | -0.3651 | 0.2524 | 0.6175 |
| MRSA | -0.9076 | -0.3695 | 0.2442 | 0.6137 |
| CDI | -0.4051 | -0.4541 | 0.1551 | 0.6092 |
| CLABSI | -0.4345 | -0.4399 | 0.1679 | 0.6078 |
| SSI | 0.8081 | -0.6553 | -0.0506 | 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 NC (79 scored): 23.4th
Hospital score -0.2779. Penalty threshold 0.3792. Distribution of 79 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 29.5th
Hospital score -0.2779. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2779; 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.