HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
BERKSHIRE MEDICAL CENTER
MA · Facility ID 220046 · FY2026
Total HAC Score
-0.1864
Percentile
40.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1864. 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 0.914
- CLABSIz -0.254
- CAUTIz -0.810
- SSIz -1.456
- CDIz 0.741
- MRSAz -0.254
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.9144 | -0.5860 | 0.0798 | 0.6657 |
| CAUTI | -0.8100 | -0.2711 | 0.3464 | 0.6175 |
| MRSA | -0.2535 | -0.3870 | 0.2268 | 0.6137 |
| CDI | 0.7410 | -0.5535 | 0.0557 | 0.6092 |
| CLABSI | -0.2535 | -0.3785 | 0.2293 | 0.6078 |
| SSI | -1.4565 | -0.1863 | 0.4183 | 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): 27.9th
Hospital score -0.1864. Penalty threshold 0.3792. Distribution of 52 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 36.9th
Hospital score -0.1864. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1864; 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.