HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ORLANDO HEALTH MELBOURNE HOSPITAL
FL · Facility ID 100291 · FY2026
Total HAC Score
-0.5040
Percentile
20.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5040. 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 -0.957
- CLABSIz -1.407
- CAUTIz 0.161
- SSIz 0.421
- CDIz -1.230
- MRSAz -0.013
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.9572 | -0.5917 | 0.0740 | 0.6657 |
| CAUTI | 0.1614 | -0.7507 | -0.1332 | 0.6175 |
| MRSA | -0.0131 | -0.7447 | -0.1310 | 0.6137 |
| CDI | -1.2298 | -0.5428 | 0.0664 | 0.6092 |
| CLABSI | -1.4065 | -0.5040 | 0.1038 | 0.6078 |
| SSI | 0.4210 | -0.8169 | -0.2122 | 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 FL (165 scored): 23.3th
Hospital score -0.5040. Penalty threshold 0.3792. Distribution of 165 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 14.8th
Hospital score -0.5040. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5040; 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.