Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MEMORIAL HOSPITAL MIRAMAR

FL · Facility ID 100285 · FY2026

Total HAC Score

-0.1957

Percentile

38.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1957

Hospital score -0.1957. 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 -0.239
  • CLABSIz -0.372
  • CAUTIz -0.359
  • SSIz 0.793
  • CDIz -0.014
  • MRSAz -0.983

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-0.2391-0.40310.26260.6657
CAUTI-0.3592-0.35560.26180.6175
MRSA-0.9829-0.27480.33890.6137
CDI-0.0140-0.43710.17210.6092
CLABSI-0.3719-0.36820.23960.6078
SSI0.7927-0.57060.03410.6047

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): 49.4th

Score distributionThreshold 0.3792Hospital -0.1957

Hospital score -0.1957. Penalty threshold 0.3792. Distribution of 165 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 35.6th

Score distributionThreshold 0.3792Hospital -0.1957

Hospital score -0.1957. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1957; 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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