HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC
WI · Facility ID 520088 · FY2026
Total HAC Score
-0.6749
Percentile
13.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.6749. 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 0.560
- CLABSIz -1.407
- CAUTIz -0.892
- SSIz -0.939
- CDIz -0.684
- MRSAz -0.688
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.5603 | -1.0155 | -0.3498 | 0.6658 |
| CAUTI | -0.8920 | -0.7460 | -0.1285 | 0.6175 |
| MRSA | -0.6882 | -0.8031 | -0.1893 | 0.6137 |
| CDI | -0.6839 | -0.8046 | -0.1954 | 0.6092 |
| CLABSI | -1.4065 | -0.6749 | -0.0671 | 0.6078 |
| SSI | -0.9391 | -0.7611 | -0.1564 | 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): 7.3th
Hospital score -0.6749. Penalty threshold 0.3792. Distribution of 62 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 7.6th
Hospital score -0.6749. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.6749; 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.