HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MERCY REGIONAL MEDICAL CENTER
CO · Facility ID 060013 · FY2026
Total HAC Score
-0.4539
Percentile
23.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4539. 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 -1.377
- CLABSIz 0.558
- CAUTIz -0.434
- SSIz -0.609
- CDIz -0.579
- MRSAz -0.283
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.3770 | -0.4716 | 0.1942 | 0.6658 |
| CAUTI | -0.4340 | -0.6013 | 0.0162 | 0.6175 |
| MRSA | -0.2827 | -0.6496 | -0.0359 | 0.6137 |
| CDI | -0.5793 | -0.6010 | 0.0082 | 0.6092 |
| CLABSI | 0.5584 | -0.7813 | -0.1736 | 0.6078 |
| SSI | -0.6085 | -0.5952 | 0.0095 | 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 CO (49 scored): 23.5th
Hospital score -0.4539. Penalty threshold 0.3792. Distribution of 49 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 18.0th
Hospital score -0.4539. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4539; 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.