Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER INC

WI · Facility ID 520004 · FY2026

Total HAC Score

-0.7078

Percentile

12.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7078

Hospital score -0.7078. 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 -0.932
  • CLABSIz -0.288
  • CAUTIz -1.319
  • SSIz 0.178
  • CDIz -0.428
  • MRSAz -1.457

Fragility

Each reported measure moves the score by 0.1667 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate-0.9323-0.7997-0.13390.6658
CAUTI-1.3186-0.7078-0.09040.6175
MRSA-1.4573-0.7078-0.09410.6137
CDI-0.4283-0.8802-0.27090.6092
CLABSI-0.2883-0.8942-0.28640.6078
SSI0.1777-0.9802-0.37550.6047

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 WI (62 scored): 5.6th

Score distributionThreshold 0.3792Hospital -0.7078

Hospital score -0.7078. Penalty threshold 0.3792. Distribution of 62 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 6.7th

Score distributionThreshold 0.3792Hospital -0.7078

Hospital score -0.7078. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7078; 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.

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