HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MEDSTAR SAINT MARY'S HOSPITAL
MD · Facility ID 210028 · FY2026
Total HAC Score
-0.7125
Percentile
12.5th
Displayed status
Exempt (Maryland)From CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.7125. 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 -0.733
- CLABSIz -0.671
- CAUTIz -1.319
- SSIz 0.555
- CDIz -0.649
- MRSAz -1.457
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.7334 | -0.8375 | -0.1717 | 0.6658 |
| CAUTI | -1.3186 | -0.7125 | -0.0950 | 0.6175 |
| MRSA | -1.4573 | -0.7125 | -0.0987 | 0.6137 |
| CDI | -0.6490 | -0.8480 | -0.2388 | 0.6092 |
| CLABSI | -0.6711 | -0.8350 | -0.2272 | 0.6078 |
| SSI | 0.5546 | -1.0476 | -0.4429 | 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): 3.5th
Hospital score -0.7125. Penalty threshold 0.3792. Distribution of 43 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 6.5th
Hospital score -0.7125. 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.