HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MIDDLESEX HOSPITAL
CT · Facility ID 070020 · FY2026
Total HAC Score
-0.2172
Percentile
37.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2172. 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 -1.125
- CLABSIz -0.871
- CAUTIz -0.518
- SSIz 2.172
- CDIz 0.114
- MRSAz -1.075
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.1248 | -0.2769 | 0.3888 | 0.6657 |
| CAUTI | -0.5183 | -0.3505 | 0.2669 | 0.6175 |
| MRSA | -1.0748 | -0.2809 | 0.3328 | 0.6137 |
| CDI | 0.1138 | -0.4798 | 0.1294 | 0.6092 |
| CLABSI | -0.8706 | -0.3065 | 0.3013 | 0.6078 |
| SSI | 2.1717 | -0.8219 | -0.2172 | 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 CT (25 scored): 50.0th
Hospital score -0.2172. Penalty threshold 0.3792. Distribution of 25 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 34.0th
Hospital score -0.2172. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2172; 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.