HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SOUTHERN REGIONAL MEDICAL CENTER
GA · Facility ID 110165 · FY2026
Total HAC Score
-0.1426
Percentile
43.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1426. 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 -0.023
- CLABSIz 0.503
- CAUTIz -1.319
- SSIz -0.782
- CDIz -0.858
- MRSAz 1.623
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.0230 | -0.3860 | 0.2798 | 0.6657 |
| CAUTI | -1.3186 | -0.1426 | 0.4749 | 0.6175 |
| MRSA | 1.6232 | -0.6560 | -0.0422 | 0.6137 |
| CDI | -0.8581 | -0.2432 | 0.3660 | 0.6092 |
| CLABSI | 0.5027 | -0.4608 | 0.1470 | 0.6078 |
| SSI | -0.7816 | -0.2550 | 0.3497 | 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): 36.5th
Hospital score -0.1426. Penalty threshold 0.3792. Distribution of 89 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 40.3th
Hospital score -0.1426. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1426; 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.