Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC

WI · Facility ID 520160 · FY2026

Total HAC Score

-0.0268

Percentile

51.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0268

Hospital score -0.0268. 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 2.511
  • CLABSIz -0.481
  • CAUTIz -0.501
  • SSIz -0.725
  • CDIz 0.002
  • MRSAz -0.966

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 fate2.5111-0.6926-0.02680.6657
CAUTI-0.5015-0.16300.45450.6175
MRSA-0.9661-0.10870.50500.6137
CDI0.0015-0.27080.33840.6092
CLABSI-0.4809-0.18110.42670.6078
SSI-0.7250-0.14870.45600.6047

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): 41.1th

Score distributionThreshold 0.3792Hospital -0.0268

Hospital score -0.0268. Penalty threshold 0.3792. Distribution of 62 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 49.3th

Score distributionThreshold 0.3792Hospital -0.0268

Hospital score -0.0268. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0268; 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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