Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

GARRETT REGIONAL MEDICAL CENTER

MD · Facility ID 210017 · FY2026

Total HAC Score

0.9772

Percentile

93.4th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital 0.9772

Hospital score 0.9772. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 4 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.570
  • CLABSIz 2.240
  • CAUTIz 0.046
  • SSIN/A
  • CDIz 2.193
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.2500 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-0.57010.74891.74750.9986
CAUTI0.04570.63611.56240.9262
CDI2.19310.06340.97720.9138
CLABSI2.24020.06550.97720.9117

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): 94.2th

Score distributionThreshold 0.3792Hospital 0.9772

Hospital score 0.9772. Penalty threshold 0.3792. Distribution of 43 scored hospitals.

Percentile among hospitals with 4 reported measures (139 scored): 88.1th

Score distributionThreshold 0.3792Hospital 0.9772

Hospital score 0.9772. Penalty threshold 0.3792. Distribution of 139 scored hospitals.

Plain-language verdict

Displayed status is Exempt (Maryland) under the CMS Payment Reduction column.

Reported on 4 of 6 measures; each reported measure moves the equal-weighted score by 0.2500 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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