HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
LAKE HEALTH
OH · Facility ID 360098 · FY2026
Total HAC Score
-0.3185
Percentile
31.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3185. 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 -1.483
- CLABSIz -0.430
- CAUTIz -0.769
- SSIz -0.208
- CDIz 1.581
- MRSAz -0.603
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.4834 | -0.3185 | 0.3472 | 0.6658 |
| CAUTI | -0.7690 | -0.4101 | 0.2074 | 0.6175 |
| MRSA | -0.6025 | -0.4610 | 0.1527 | 0.6137 |
| CDI | 1.5813 | -0.8258 | -0.2166 | 0.6092 |
| CLABSI | -0.4298 | -0.4813 | 0.1265 | 0.6078 |
| SSI | -0.2077 | -0.5266 | 0.0780 | 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 OH (114 scored): 26.8th
Hospital score -0.3185. Penalty threshold 0.3792. Distribution of 114 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 26.6th
Hospital score -0.3185. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3185; 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.