Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

OAKLEAF SURGICAL HOSPITAL

WI · Facility ID 520196 · FY2026

Total HAC Score

0.2008

Percentile

65.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital 0.2008

Hospital score 0.2008. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 2 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.425
  • CLABSIN/A
  • CAUTIN/A
  • SSIz 0.827
  • CDIN/A
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.5000 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 fate-0.4253-0.32821.66901.9972
SSI0.8270-0.94090.87321.8141

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): 57.3th

Score distributionThreshold 0.3792Hospital 0.2008

Hospital score 0.2008. Penalty threshold 0.3792. Distribution of 62 scored hospitals.

Percentile among hospitals with 2 reported measures (252 scored): 68.8th

Score distributionThreshold 0.3792Hospital 0.2008

Hospital score 0.2008. Penalty threshold 0.3792. Distribution of 252 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score 0.2008; threshold 0.3792).

Reported on 2 of 6 measures; each reported measure moves the equal-weighted score by 0.5000 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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