HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MYMICHIGAN MEDICAL CENTER ALMA
MI · Facility ID 230030 · FY2026
Total HAC Score
-0.6373
Percentile
14.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.6373. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.710
- CLABSIz 0.466
- CAUTIz -1.319
- SSIz -0.843
- CDIz -0.781
- MRSAN/A
Fragility
Each reported measure moves the score by 0.2000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.7098 | -0.7921 | 0.0068 | 0.7989 |
| CAUTI | -1.3186 | -0.6373 | 0.1036 | 0.7410 |
| CDI | -0.7807 | -0.7736 | -0.0426 | 0.7311 |
| CLABSI | 0.4656 | -1.0118 | -0.2824 | 0.7293 |
| SSI | -0.8432 | -0.7600 | -0.0344 | 0.7256 |
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 MI (88 scored): 11.9th
Hospital score -0.6373. Penalty threshold 0.3792. Distribution of 88 scored hospitals.
Percentile among hospitals with 5 reported measures (220 scored): 17.5th
Hospital score -0.6373. Penalty threshold 0.3792. Distribution of 220 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.6373; threshold 0.3792).
Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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.