Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

← All audits

Hospital audit

WAUKESHA MEMORIAL HOSPITAL

WI · Facility ID 520008 · FY2026

Total HAC Score

-0.4077

Percentile

25.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4077

Hospital score -0.4077. 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 -0.649
  • CLABSIz -1.000
  • CAUTIz -0.297
  • SSIz -0.653
  • CDIz 0.269
  • MRSAz -0.116

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-0.6490-0.54680.11900.6657
CAUTI-0.2966-0.57800.03950.6175
MRSA-0.1156-0.6313-0.01760.6137
CDI0.2686-0.6962-0.08700.6092
CLABSI-1.0005-0.47540.13240.6078
SSI-0.6531-0.54160.06310.6047

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): 18.5th

Score distributionThreshold 0.3792Hospital -0.4077

Hospital score -0.4077. Penalty threshold 0.3792. Distribution of 62 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 20.4th

Score distributionThreshold 0.3792Hospital -0.4077

Hospital score -0.4077. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4077; 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.

Scan a hospital system →