Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

BELOIT HEALTH SYSTEM

WI · Facility ID 520100 · FY2026

Total HAC Score

-0.3002

Percentile

32.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3002

Hospital score -0.3002. 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 2.149
  • CLABSIz -1.407
  • CAUTIz -1.319
  • SSIz -1.456
  • CDIz 0.675
  • MRSAz -0.444

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 fate2.1487-0.9056-0.23980.6658
CAUTI-1.3186-0.30020.31720.6175
MRSA-0.4437-0.46920.14460.6137
CDI0.6752-0.6565-0.04730.6092
CLABSI-1.4065-0.30020.30760.6078
SSI-1.4565-0.30020.30450.6047

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): 26.6th

Score distributionThreshold 0.3792Hospital -0.3002

Hospital score -0.3002. Penalty threshold 0.3792. Distribution of 62 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 28.0th

Score distributionThreshold 0.3792Hospital -0.3002

Hospital score -0.3002. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3002; 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.

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