HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER
MD · Facility ID 210048 · FY2026
Total HAC Score
0.3475
Percentile
73.0th
Displayed status
Exempt (Maryland)From CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score 0.3475. 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 -0.172
- CLABSIz 0.148
- CAUTIz 0.282
- SSIz 1.891
- CDIz 0.520
- MRSAz -0.584
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.1720 | 0.1290 | 0.7947 | 0.6658 |
| CAUTI | 0.2820 | 0.0808 | 0.6982 | 0.6175 |
| MRSA | -0.5837 | 0.2019 | 0.8157 | 0.6137 |
| CDI | 0.5203 | 0.0171 | 0.6263 | 0.6092 |
| CLABSI | 0.1478 | 0.0885 | 0.6963 | 0.6078 |
| SSI | 1.8907 | -0.2103 | 0.3944 | 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): 66.3th
Hospital score 0.3475. Penalty threshold 0.3792. Distribution of 43 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 74.3th
Hospital score 0.3475. 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.