Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

CARROLL HOSPITAL CENTER

MD · Facility ID 210033 · FY2026

Total HAC Score

-0.1795

Percentile

40.5th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1795

Hospital score -0.1795. 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 0.532
  • CLABSIz -1.407
  • CAUTIz -0.123
  • SSIz -0.273
  • CDIz 1.651
  • MRSAz -1.457

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 fate0.5316-0.51530.15040.6657
CAUTI-0.1230-0.37880.23870.6175
MRSA-1.4573-0.17950.43420.6137
CDI1.6510-0.6984-0.08920.6092
CLABSI-1.4065-0.17950.42830.6078
SSI-0.2728-0.37680.22790.6047

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): 38.4th

Score distributionThreshold 0.3792Hospital -0.1795

Hospital score -0.1795. Penalty threshold 0.3792. Distribution of 43 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 37.5th

Score distributionThreshold 0.3792Hospital -0.1795

Hospital score -0.1795. 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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