Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

TIDALHEALTH PENINSULA REGIONAL, INC

MD · Facility ID 210019 · FY2026

Total HAC Score

-0.3274

Percentile

30.7th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3274

Hospital score -0.3274. 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 -0.488
  • CLABSIz -0.706
  • CAUTIz 0.521
  • SSIz -0.047
  • CDIz -0.475
  • MRSAz -0.770

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 fate-0.4877-0.49330.17240.6657
CAUTI0.5206-0.6339-0.01640.6175
MRSA-0.7697-0.44200.17180.6137
CDI-0.4748-0.49190.11730.6092
CLABSI-0.7059-0.44410.16360.6078
SSI-0.0467-0.56230.04240.6047

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): 19.8th

Score distributionThreshold 0.3792Hospital -0.3274

Hospital score -0.3274. Penalty threshold 0.3792. Distribution of 43 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 25.9th

Score distributionThreshold 0.3792Hospital -0.3274

Hospital score -0.3274. 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.

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