Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

← All audits

Hospital audit

MEDSTAR FRANKLIN SQUARE MEDICAL CENTER

MD · Facility ID 210015 · FY2026

Total HAC Score

-0.0235

Percentile

51.5th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0235

Hospital score -0.0235. 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 2.511
  • CLABSIz -1.163
  • CAUTIz -0.588
  • SSIz -0.257
  • CDIz -0.122
  • MRSAz -0.521

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 fate2.5111-0.6892-0.02350.6658
CAUTI-0.5882-0.14520.47230.6175
MRSA-0.5210-0.17950.43420.6137
CDI-0.1224-0.24680.36240.6092
CLABSI-1.1629-0.06410.54370.6078
SSI-0.2574-0.22330.38140.6047

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): 47.7th

Score distributionThreshold 0.3792Hospital -0.0235

Hospital score -0.0235. Penalty threshold 0.3792. Distribution of 43 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 49.6th

Score distributionThreshold 0.3792Hospital -0.0235

Hospital score -0.0235. 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.

Scan a hospital system →