HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
DUKE REGIONAL HOSPITAL
NC · Facility ID 340155 · FY2026
Total HAC Score
-0.3071
Percentile
31.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3071. 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 -0.042
- CLABSIz 0.308
- CAUTIz -0.246
- SSIz -0.824
- CDIz -0.784
- MRSAz -0.254
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.0422 | -0.5473 | 0.1184 | 0.6657 |
| CAUTI | -0.2459 | -0.4859 | 0.1316 | 0.6175 |
| MRSA | -0.2535 | -0.5078 | 0.1060 | 0.6137 |
| CDI | -0.7845 | -0.4201 | 0.1891 | 0.6092 |
| CLABSI | 0.3078 | -0.5928 | 0.0150 | 0.6078 |
| SSI | -0.8244 | -0.4125 | 0.1922 | 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): 22.2th
Hospital score -0.3071. Penalty threshold 0.3792. Distribution of 79 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 27.3th
Hospital score -0.3071. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3071; 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.