HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
BOSTON MEDICAL CENTER-BRIGHTON
MA · Facility ID 220036 · FY2026
Total HAC Score
-0.2950
Percentile
32.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2950. 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 -1.338
- CLABSIz 0.292
- CAUTIz -0.393
- SSIz 0.625
- CDIz -0.564
- MRSAz -0.391
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.3383 | -0.3192 | 0.3465 | 0.6657 |
| CAUTI | -0.3930 | -0.4493 | 0.1682 | 0.6175 |
| MRSA | -0.3914 | -0.4727 | 0.1411 | 0.6137 |
| CDI | -0.5638 | -0.4447 | 0.1645 | 0.6092 |
| CLABSI | 0.2916 | -0.5780 | 0.0298 | 0.6078 |
| SSI | 0.6248 | -0.6419 | -0.0372 | 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 MA (52 scored): 16.3th
Hospital score -0.2950. Penalty threshold 0.3792. Distribution of 52 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 28.5th
Hospital score -0.2950. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2950; threshold 0.3792).
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.