HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
HOLY FAMILY HOSPITAL
MA · Facility ID 220080 · FY2026
Total HAC Score
-0.0166
Percentile
51.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0166. 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 0.087
- CLABSIz 1.440
- CAUTIz 0.716
- SSIz -0.574
- CDIz -0.773
- MRSAz -0.995
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0875 | -0.2784 | 0.3874 | 0.6657 |
| CAUTI | 0.7159 | -0.3556 | 0.2618 | 0.6175 |
| MRSA | -0.9954 | -0.0935 | 0.5202 | 0.6137 |
| CDI | -0.7729 | -0.1314 | 0.4778 | 0.6092 |
| CLABSI | 1.4399 | -0.4910 | 0.1168 | 0.6078 |
| SSI | -0.5743 | -0.1636 | 0.4411 | 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): 33.7th
Hospital score -0.0166. Penalty threshold 0.3792. Distribution of 52 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 49.9th
Hospital score -0.0166. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0166; 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.