HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MEDSTAR WASHINGTON HOSPITAL CENTER
DC · Facility ID 090011 · FY2026
Total HAC Score
-0.3612
Percentile
28.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3612. 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 -1.483
- CLABSIz 0.964
- CAUTIz -0.938
- SSIz -0.069
- CDIz -0.696
- MRSAz 0.054
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.4834 | -0.3613 | 0.3045 | 0.6657 |
| CAUTI | -0.9378 | -0.4247 | 0.1927 | 0.6175 |
| MRSA | 0.0537 | -0.6131 | 0.0006 | 0.6137 |
| CDI | -0.6955 | -0.4891 | 0.1202 | 0.6092 |
| CLABSI | 0.9643 | -0.7564 | -0.1486 | 0.6078 |
| SSI | -0.0689 | -0.5925 | 0.0122 | 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 DC (6 scored): 8.3th
Hospital score -0.3612. Penalty threshold 0.3792. Distribution of 6 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 23.4th
Hospital score -0.3612. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3612; 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.