Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

WESTERN MARYLAND REGIONAL MEDICAL CENTER

MD · Facility ID 210027 · FY2026

Total HAC Score

-0.2439

Percentile

36.0th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2439

Hospital score -0.2439. 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 -0.549
  • CLABSIz -1.128
  • CAUTIz 0.029
  • SSIz 1.365
  • CDIz -0.332
  • MRSAz -0.849

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-0.5486-0.39970.26600.6657
CAUTI0.0289-0.46850.14900.6175
MRSA-0.8491-0.34530.26840.6137
CDI-0.3315-0.43240.17680.6092
CLABSI-1.1281-0.29030.31750.6078
SSI1.3648-0.7142-0.10950.6047

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): 29.1th

Score distributionThreshold 0.3792Hospital -0.2439

Hospital score -0.2439. Penalty threshold 0.3792. Distribution of 43 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 32.0th

Score distributionThreshold 0.3792Hospital -0.2439

Hospital score -0.2439. 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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