Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MARINHEALTH MEDICAL CENTER

CA · Facility ID 050360 · FY2026

Total HAC Score

-0.1555

Percentile

42.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1555

Hospital score -0.1555. 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 0.393
  • CLABSIz -0.068
  • CAUTIz 0.205
  • SSIz -0.281
  • CDIz -0.184
  • MRSAz -0.998

Fragility

Each reported measure moves the score by 0.1667 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 fate0.3933-0.46830.19740.6657
CAUTI0.2048-0.40940.20800.6175
MRSA-0.9975-0.23220.38160.6137
CDI-0.1844-0.36850.24070.6092
CLABSI-0.0680-0.37860.22920.6078
SSI-0.2814-0.35140.25330.6047

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): 39.9th

Score distributionThreshold 0.3792Hospital -0.1555

Hospital score -0.1555. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 39.2th

Score distributionThreshold 0.3792Hospital -0.1555

Hospital score -0.1555. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1555; 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.

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