HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
FREDERICK HEALTH HOSPITAL
MD · Facility ID 210005 · FY2026
Total HAC Score
-0.0794
Percentile
47.7th
Displayed status
Exempt (Maryland)From CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0794. 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 1.724
- CLABSIz -0.595
- CAUTIz -0.224
- SSIz -0.864
- CDIz 0.218
- MRSAz -0.736
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 1.7240 | -0.6140 | 0.0518 | 0.6657 |
| CAUTI | -0.2242 | -0.2618 | 0.3557 | 0.6175 |
| MRSA | -0.7362 | -0.1996 | 0.4141 | 0.6137 |
| CDI | 0.2183 | -0.3595 | 0.2497 | 0.6092 |
| CLABSI | -0.5946 | -0.2147 | 0.3931 | 0.6078 |
| SSI | -0.8638 | -0.1782 | 0.4265 | 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 MD (43 scored): 43.0th
Hospital score -0.0794. Penalty threshold 0.3792. Distribution of 43 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 45.0th
Hospital score -0.0794. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
Displayed status is Exempt (Maryland) under the CMS Payment Reduction column.
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.