Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

Memorial Satilla Health

GA · Facility ID 110003 · FY2026

Total HAC Score

-0.4841

Percentile

21.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4841

Hospital score -0.4841. 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 -0.763
  • CLABSIz 0.361
  • CAUTIz -0.583
  • SSIz 0.051
  • CDIz -1.284
  • MRSAz -0.686

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-0.7635-0.60410.06160.6658
CAUTI-0.5834-0.60670.01080.6175
MRSA-0.6861-0.61270.00110.6137
CDI-1.2840-0.51380.09540.6092
CLABSI0.3612-0.7788-0.17100.6078
SSI0.0510-0.7354-0.13070.6047

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): 20.8th

Score distributionThreshold 0.3792Hospital -0.4841

Hospital score -0.4841. Penalty threshold 0.3792. Distribution of 89 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 15.8th

Score distributionThreshold 0.3792Hospital -0.4841

Hospital score -0.4841. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4841; 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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