HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
VANDERBILT WILSON COUNTY HOSPITAL
TN · Facility ID 440193 · FY2026
Total HAC Score
-0.2759
Percentile
33.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2759. 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 -0.532
- CLABSIz -1.407
- CAUTIz -0.284
- SSIz -0.045
- CDIz -0.362
- MRSAz 0.975
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.5322 | -0.4344 | 0.2313 | 0.6657 |
| CAUTI | -0.2845 | -0.4482 | 0.1692 | 0.6175 |
| MRSA | 0.9754 | -0.6813 | -0.0676 | 0.6137 |
| CDI | -0.3625 | -0.4592 | 0.1500 | 0.6092 |
| CLABSI | -1.4065 | -0.2759 | 0.3319 | 0.6078 |
| SSI | -0.0450 | -0.5111 | 0.0936 | 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 TN (73 scored): 40.4th
Hospital score -0.2759. Penalty threshold 0.3792. Distribution of 73 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 29.8th
Hospital score -0.2759. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2759; 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.