Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

TALLAHASSEE MEMORIAL HEALTHCARE

FL · Facility ID 100135 · FY2026

Total HAC Score

-0.0328

Percentile

50.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0328

Hospital score -0.0328. 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 -0.635
  • CLABSIz -0.077
  • CAUTIz -0.805
  • SSIz 0.178
  • CDIz 0.667
  • MRSAz 0.476

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 fate-0.6354-0.17410.49160.6658
CAUTI-0.8052-0.11840.49910.6175
MRSA0.4759-0.35500.25870.6137
CDI0.6675-0.38770.22150.6092
CLABSI-0.0772-0.25430.35350.6078
SSI0.1777-0.30510.29950.6047

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 FL (165 scored): 64.5th

Score distributionThreshold 0.3792Hospital -0.0328

Hospital score -0.0328. Penalty threshold 0.3792. Distribution of 165 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 48.7th

Score distributionThreshold 0.3792Hospital -0.0328

Hospital score -0.0328. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0328; 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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