HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
DOMINICAN HOSPITAL
CA · Facility ID 050242 · FY2026
Total HAC Score
-0.0394
Percentile
50.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0394. 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 1.117
- CLABSIz -1.193
- CAUTIz 0.142
- SSIz -0.728
- CDIz 0.780
- MRSAz -0.354
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 1.1170 | -0.4728 | 0.1930 | 0.6657 |
| CAUTI | 0.1422 | -0.2828 | 0.3346 | 0.6175 |
| MRSA | -0.3538 | -0.2233 | 0.3904 | 0.6137 |
| CDI | 0.7798 | -0.4130 | 0.1962 | 0.6092 |
| CLABSI | -1.1931 | -0.0750 | 0.5328 | 0.6078 |
| SSI | -0.7284 | -0.1607 | 0.4440 | 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 CA (277 scored): 48.6th
Hospital score -0.0394. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 48.2th
Hospital score -0.0394. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0394; 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.