Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MERCYONE CLINTON MEDICAL CENTER

IA · Facility ID 160080 · FY2026

Total HAC Score

-0.0679

Percentile

48.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0679

Hospital score -0.0679. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.179
  • CLABSIz 0.881
  • CAUTIz -0.600
  • SSIz -0.946
  • CDIz 0.505
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.2000 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-0.1788-0.32880.47010.7989
CAUTI-0.6003-0.21160.52940.7410
CDI0.5048-0.46130.26980.7311
CLABSI0.8808-0.52540.20400.7293
SSI-0.9460-0.17000.55560.7256

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 IA (30 scored): 28.3th

Score distributionThreshold 0.3792Hospital -0.0679

Hospital score -0.0679. Penalty threshold 0.3792. Distribution of 30 scored hospitals.

Percentile among hospitals with 5 reported measures (220 scored): 48.4th

Score distributionThreshold 0.3792Hospital -0.0679

Hospital score -0.0679. Penalty threshold 0.3792. Distribution of 220 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0679; threshold 0.3792).

Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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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