HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
CHEYENNE REGIONAL MEDICAL CENTER
WY · Facility ID 530014 · FY2026
Total HAC Score
-0.1519
Percentile
42.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1519. 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 -0.407
- CLABSIz -1.107
- CAUTIz -0.007
- SSIz -0.238
- CDIz 0.931
- MRSAz -0.082
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.4067 | -0.3313 | 0.3345 | 0.6658 |
| CAUTI | -0.0073 | -0.3704 | 0.2471 | 0.6175 |
| MRSA | -0.0821 | -0.3810 | 0.2327 | 0.6137 |
| CDI | 0.9308 | -0.5507 | 0.0585 | 0.6092 |
| CLABSI | -1.1072 | -0.2017 | 0.4061 | 0.6078 |
| SSI | -0.2385 | -0.3548 | 0.2499 | 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 WY (8 scored): 6.3th
Hospital score -0.1519. Penalty threshold 0.3792. Distribution of 8 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 39.4th
Hospital score -0.1519. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1519; 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.