HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
FROEDTERT MEMORIAL LUTHERAN HOSPITAL
WI · Facility ID 520177 · FY2026
Total HAC Score
-0.1351
Percentile
43.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1351. 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 -1.375
- CLABSIz 0.484
- CAUTIz -0.465
- SSIz 0.481
- CDIz 0.563
- MRSAz -0.498
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.3753 | -0.1531 | 0.5126 | 0.6657 |
| CAUTI | -0.4653 | -0.2773 | 0.3401 | 0.6175 |
| MRSA | -0.4980 | -0.2950 | 0.3187 | 0.6137 |
| CDI | 0.5629 | -0.4726 | 0.1366 | 0.6092 |
| CLABSI | 0.4841 | -0.4502 | 0.1576 | 0.6078 |
| SSI | 0.4809 | -0.4580 | 0.1467 | 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): 31.5th
Hospital score -0.1351. Penalty threshold 0.3792. Distribution of 62 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 40.7th
Hospital score -0.1351. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1351; 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.