HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
HOLY REDEEMER HOSPITAL AND MEDICAL CENTER
PA · Facility ID 390097 · FY2026
Total HAC Score
-0.2500
Percentile
35.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2500. 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 1.056
- CLABSIz -0.059
- CAUTIz -0.386
- SSIz -0.586
- CDIz -0.618
- 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 | 1.0561 | -0.6733 | -0.0076 | 0.6657 |
| CAUTI | -0.3857 | -0.4055 | 0.2119 | 0.6175 |
| MRSA | -0.9076 | -0.3417 | 0.2721 | 0.6137 |
| CDI | -0.6181 | -0.3907 | 0.2185 | 0.6092 |
| CLABSI | -0.0587 | -0.4747 | 0.1331 | 0.6078 |
| SSI | -0.5863 | -0.3951 | 0.2096 | 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): 25.8th
Hospital score -0.2500. Penalty threshold 0.3792. Distribution of 130 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 31.4th
Hospital score -0.2500. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2500; 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.