HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MASSACHUSETTS EYE AND EAR INFIRMARY -
MA · Facility ID 220075 · FY2026
Total HAC Score
1.0946
Percentile
95.7th
Displayed status
Payment reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score 1.0946. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 3 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -1.081
- CLABSIN/A
- CAUTIN/A
- SSIImputedz 2.172
- CDIz 2.193
- MRSAN/A
Fragility
Each reported measure moves the score by 0.3333 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0809 | 0.9605 | 2.2920 | 1.3315 |
| CDI | 2.1931 | -0.1238 | 1.0946 | 1.2184 |
| SSI | 2.1717 | -0.1148 | 1.0946 | 1.2094 |
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
1 reported measure carry footnote 18 (imputed). Compare as-scored vs measured-only mean.
- As scored
- 1.0946
- Measured only
- 0.5561
- SSI imputed
Peer context
Percentile within MA (52 scored): 95.2th
Hospital score 1.0946. Penalty threshold 0.3792. Distribution of 52 scored hospitals.
Percentile among hospitals with 3 reported measures (196 scored): 92.6th
Hospital score 1.0946. Penalty threshold 0.3792. Distribution of 196 scored hospitals.
Plain-language verdict
As scored, the CMS file lists payment reduction Yes (Total HAC Score 1.0946; threshold 0.3792).
Reported on 3 of 6 measures; each reported measure moves the equal-weighted score by 0.3333 points.
1 reported measure(s) are imputed (footnote 18). As-scored 1.0946 vs measured-only 0.5561 — 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.