HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
WELLSPAN CHAMBERSBURG HOSPITAL
PA · Facility ID 390151 · FY2026
Total HAC Score
-0.0796
Percentile
47.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0796. 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 -1.022
- CLABSIz -0.453
- CAUTIz 1.437
- SSIz -1.037
- CDIz -0.568
- MRSAz 1.165
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0221 | -0.1565 | 0.5093 | 0.6657 |
| CAUTI | 1.4366 | -0.5388 | 0.0787 | 0.6175 |
| MRSA | 1.1655 | -0.5167 | 0.0970 | 0.6137 |
| CDI | -0.5677 | -0.2287 | 0.3805 | 0.6092 |
| CLABSI | -0.4530 | -0.2385 | 0.3693 | 0.6078 |
| SSI | -1.0368 | -0.1495 | 0.4552 | 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): 34.2th
Hospital score -0.0796. Penalty threshold 0.3792. Distribution of 130 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 44.9th
Hospital score -0.0796. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0796; 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.