HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST JOSEPHS COMMUNITY HOSPITAL WEST BEND
WI · Facility ID 520063 · FY2026
Total HAC Score
-0.0287
Percentile
51.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0287. 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 1.224
- CLABSIz -1.407
- CAUTIz -0.485
- SSIz -1.456
- CDIz -0.273
- MRSAz 2.225
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 1.2236 | -0.4799 | 0.1859 | 0.6657 |
| CAUTI | -0.4846 | -0.1677 | 0.4498 | 0.6175 |
| MRSA | 2.2251 | -0.6424 | -0.0287 | 0.6137 |
| CDI | -0.2734 | -0.2268 | 0.3824 | 0.6092 |
| CLABSI | -1.4065 | -0.0287 | 0.5791 | 0.6078 |
| SSI | -1.4565 | -0.0287 | 0.5760 | 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): 39.5th
Hospital score -0.0287. Penalty threshold 0.3792. Distribution of 62 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 49.1th
Hospital score -0.0287. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0287; 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.