HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
WAUKESHA MEMORIAL HOSPITAL
WI · Facility ID 520008 · FY2026
Total HAC Score
-0.4077
Percentile
25.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
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.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.6490 | -0.5468 | 0.1190 | 0.6657 |
| CAUTI | -0.2966 | -0.5780 | 0.0395 | 0.6175 |
| MRSA | -0.1156 | -0.6313 | -0.0176 | 0.6137 |
| CDI | 0.2686 | -0.6962 | -0.0870 | 0.6092 |
| CLABSI | -1.0005 | -0.4754 | 0.1324 | 0.6078 |
| SSI | -0.6531 | -0.5416 | 0.0631 | 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 WI (62 scored): 18.5th
Hospital score -0.4077. Penalty threshold 0.3792. Distribution of 62 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 20.4th
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.