WELLSPAN EVANGELICAL COMMUNITY HOSPITAL

PA · Facility ID 390013 · FY2026

Total HAC Score

0.1736

Percentile

63.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1736

Live result

Equal-weight mean of edited reported Z · threshold 0.3792(strict >) · simulated/illustrative

Simulated Total HAC

0.1736

Δ from file score

-0.0000

File 0.1736

Not penalized (simulated)

Drag reported SIRs (PSI-90: Composite Value). Z updates live via the empirical map, clamped to each measure's floor/cap.

PSI-90Patient Safety and Adverse Events Composite (PSI-90)
Composite Value 1.600Z file 2.511 → sim 2.511
0.273.32
No score impact — already at the measure cap.
CLABSICentral Line-Associated Bloodstream Infection (CLABSI)
SIR 0.000Z file -1.407 → sim -1.406
0.007.96
No score impact — already at the measure floor.
CAUTICatheter-Associated Urinary Tract Infection (CAUTI)
SIR 0.611Z file 0.154 → sim 0.154
0.005.52
SSISurgical Site Infection (SSI)
SIR 0.712Z file -0.237 → sim -0.237
0.004.79
CDIClostridioides difficile Infection (CDI)
SIR 0.759Z file 1.477 → sim 1.477
0.003.32
MRSAMethicillin-resistant Staphylococcus aureus Bacteremia (MRSA)
SIR 0.000Z file -1.457 → sim -1.457
0.004.41
No score impact — already at the measure floor.

Smallest change to clear (or cushion before crossing) the 0.3792 threshold — holding other measures fixed. Simulated/illustrative.

Insufficient data to score — solver unavailable.