HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
UMD REHABILITATION & ORTHOPAEDIC INSTITUTE
MD · Facility ID 210058 · FY2026
Total HAC Score
1.9139
Percentile
98.7th
Displayed status
Exempt (Maryland)From CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score 1.9139. 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 0.267
- CLABSIImputedz 2.240
- CAUTIImputedz 2.386
- SSIImputedz 2.172
- CDIImputedz 2.193
- MRSAImputedz 2.225
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.2668 | 1.6222 | 2.2879 | 0.6657 |
| CAUTI | 2.3863 | 1.2964 | 1.9139 | 0.6175 |
| MRSA | 2.2251 | 1.3001 | 1.9139 | 0.6137 |
| CDI | 2.1931 | 1.3046 | 1.9139 | 0.6092 |
| CLABSI | 2.2402 | 1.3061 | 1.9139 | 0.6078 |
| SSI | 2.1717 | 1.3092 | 1.9139 | 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.
Imputation exposure
5 reported measures carry footnote 18 (imputed). Compare as-scored vs measured-only mean.
- As scored
- 1.9139
- Measured only
- 0.2668
- CLABSI imputed
- CAUTI imputed
- SSI imputed
- CDI imputed
- MRSA imputed
Peer context
Percentile within MD (43 scored): 98.8th
Hospital score 1.9139. Penalty threshold 0.3792. Distribution of 43 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 100.0th
Hospital score 1.9139. 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.
5 reported measure(s) are imputed (footnote 18). As-scored 1.9139 vs measured-only 0.2668 — both compared to threshold 0.3792 as a mechanics illustration only.
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.