HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
GEISINGER-LEWISTOWN HOSPITAL
PA · Facility ID 390048 · FY2026
Total HAC Score
-0.1117
Percentile
45.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1117. 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 -1.044
- CLABSIz 1.774
- CAUTIz -0.097
- SSIz -0.473
- CDIz -0.057
- MRSAz -0.774
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0439 | -0.1850 | 0.4808 | 0.6657 |
| CAUTI | -0.0965 | -0.3154 | 0.3021 | 0.6175 |
| MRSA | -0.7739 | -0.2256 | 0.3881 | 0.6137 |
| CDI | -0.0566 | -0.3460 | 0.2632 | 0.6092 |
| CLABSI | 1.7739 | -0.6418 | -0.0340 | 0.6078 |
| SSI | -0.4732 | -0.2756 | 0.3291 | 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 PA (130 scored): 31.9th
Hospital score -0.1117. Penalty threshold 0.3792. Distribution of 130 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 42.4th
Hospital score -0.1117. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1117; 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.