Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ASPIRUS RHINELANDER HOSPITAL

WI · Facility ID 520019 · FY2026

Total HAC Score

0.8599

Percentile

91.0th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital 0.8599

Hospital score 0.8599. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 4 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z 0.332
  • CLABSIN/A
  • CAUTIz 0.501
  • SSIz 2.172
  • CDIz 0.435
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.2500 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 fate0.33160.40621.40480.9986
CAUTI0.50130.40491.33120.9262
CDI0.43510.38561.29940.9138
SSI2.1717-0.04710.85990.9070

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): 94.4th

Score distributionThreshold 0.3792Hospital 0.8599

Hospital score 0.8599. Penalty threshold 0.3792. Distribution of 62 scored hospitals.

Percentile among hospitals with 4 reported measures (139 scored): 83.8th

Score distributionThreshold 0.3792Hospital 0.8599

Hospital score 0.8599. Penalty threshold 0.3792. Distribution of 139 scored hospitals.

Plain-language verdict

As scored, the CMS file lists payment reduction Yes (Total HAC Score 0.8599; threshold 0.3792).

Reported on 4 of 6 measures; each reported measure moves the equal-weighted score by 0.2500 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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