HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MEDSTAR MONTGOMERY MEDICAL CENTER
MD · Facility ID 210018 · FY2026
Total HAC Score
-0.6614
Percentile
13.9th
Displayed status
Exempt (Maryland)From CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.6614. 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 0.039
- CLABSIz -0.602
- CAUTIz -1.073
- SSIz -1.456
- CDIz -0.928
- MRSAz 0.052
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0386 | -0.9150 | -0.2493 | 0.6657 |
| CAUTI | -1.0727 | -0.7024 | -0.0849 | 0.6175 |
| MRSA | 0.0516 | -0.9129 | -0.2991 | 0.6137 |
| CDI | -0.9278 | -0.7504 | -0.1412 | 0.6092 |
| CLABSI | -0.6015 | -0.7955 | -0.1878 | 0.6078 |
| SSI | -1.4565 | -0.6614 | -0.0567 | 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): 5.8th
Hospital score -0.6614. Penalty threshold 0.3792. Distribution of 43 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 8.0th
Hospital score -0.6614. 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.