HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
UPSON REGIONAL MEDICAL CENTER
GA · Facility ID 110002 · FY2026
Total HAC Score
-0.2284
Percentile
36.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2284. 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 0.360
- CLABSIz -1.407
- CAUTIz 0.038
- SSIz -1.456
- CDIz -0.610
- MRSAz 1.705
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.3598 | -0.5356 | 0.1302 | 0.6657 |
| CAUTI | 0.0385 | -0.4546 | 0.1629 | 0.6175 |
| MRSA | 1.7047 | -0.7554 | -0.1416 | 0.6137 |
| CDI | -0.6103 | -0.3704 | 0.2389 | 0.6092 |
| CLABSI | -1.4065 | -0.2284 | 0.3794 | 0.6078 |
| SSI | -1.4565 | -0.2284 | 0.3763 | 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 GA (89 scored): 30.9th
Hospital score -0.2284. Penalty threshold 0.3792. Distribution of 89 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 33.1th
Hospital score -0.2284. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2284; 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.