Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MEDSTAR HARBOR HOSPITAL

MD · Facility ID 210034 · FY2026

Total HAC Score

-0.3128

Percentile

31.5th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3128

Hospital score -0.3128. 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 -0.838
  • CLABSIz -1.407
  • CAUTIz -0.976
  • SSIz 0.796
  • CDIz -1.207
  • MRSAz 1.755

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-0.8381-0.42030.24540.6658
CAUTI-0.9763-0.36980.24770.6175
MRSA1.7549-0.8481-0.23440.6137
CDI-1.2066-0.35540.25390.6092
CLABSI-1.4065-0.31280.29500.6078
SSI0.7961-0.6882-0.08350.6047

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): 24.4th

Score distributionThreshold 0.3792Hospital -0.3128

Hospital score -0.3128. Penalty threshold 0.3792. Distribution of 43 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 26.9th

Score distributionThreshold 0.3792Hospital -0.3128

Hospital score -0.3128. 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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