HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
DOCTORS HOSPITAL
GA · Facility ID 110177 · FY2026
Total HAC Score
-0.6243
Percentile
14.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.6243. 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 -0.313
- CLABSIz -0.866
- CAUTIz -0.991
- SSIz -0.312
- CDIz -0.970
- MRSAz -0.293
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.3132 | -0.8193 | -0.1536 | 0.6658 |
| CAUTI | -0.9908 | -0.6789 | -0.0615 | 0.6175 |
| MRSA | -0.2932 | -0.8183 | -0.2046 | 0.6137 |
| CDI | -0.9704 | -0.7063 | -0.0971 | 0.6092 |
| CLABSI | -0.8660 | -0.7144 | -0.1066 | 0.6078 |
| SSI | -0.3122 | -0.8150 | -0.2103 | 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): 15.2th
Hospital score -0.6243. Penalty threshold 0.3792. Distribution of 89 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 8.8th
Hospital score -0.6243. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.6243; 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.