Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

CALVERTHEALTH MEDICAL CENTER

MD · Facility ID 210039 · FY2026

Total HAC Score

-0.3458

Percentile

29.3th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3458

Hospital score -0.3458. 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 0.755
  • CLABSIz -1.407
  • CAUTIz -0.398
  • SSIz 0.380
  • CDIz 0.052
  • 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 fate0.7549-0.7189-0.05310.6657
CAUTI-0.3978-0.49930.11820.6175
MRSA-1.4573-0.34580.26790.6137
CDI0.0518-0.59820.01100.6092
CLABSI-1.4065-0.34580.26200.6078
SSI0.3799-0.6519-0.04720.6047

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): 17.4th

Score distributionThreshold 0.3792Hospital -0.3458

Hospital score -0.3458. Penalty threshold 0.3792. Distribution of 43 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 24.2th

Score distributionThreshold 0.3792Hospital -0.3458

Hospital score -0.3458. 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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