Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MEDSTAR UNION MEMORIAL HOSPITAL

MD · Facility ID 210024 · FY2026

Total HAC Score

-0.5056

Percentile

20.2th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5056

Hospital score -0.5056. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.060
  • CLABSIz -0.680
  • CAUTIz -1.319
  • SSIN/A
  • CDIz 0.017
  • MRSAz -0.485

Fragility

Each reported measure moves the score by 0.2000 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-0.0604-0.79020.00870.7989
CAUTI-1.3186-0.50560.23540.7410
MRSA-0.4855-0.69990.03650.7365
CDI0.0170-0.8014-0.07040.7311
CLABSI-0.6804-0.65080.07850.7293

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): 10.5th

Score distributionThreshold 0.3792Hospital -0.5056

Hospital score -0.5056. Penalty threshold 0.3792. Distribution of 43 scored hospitals.

Percentile among hospitals with 5 reported measures (220 scored): 22.5th

Score distributionThreshold 0.3792Hospital -0.5056

Hospital score -0.5056. Penalty threshold 0.3792. Distribution of 220 scored hospitals.

Plain-language verdict

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

Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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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