Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MCLAREN BAY REGION

MI · Facility ID 230041 · FY2026

Total HAC Score

-0.4804

Percentile

21.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4804

Hospital score -0.4804. 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 -0.343
  • CLABSIz -0.889
  • CAUTIz 0.938
  • SSIz -1.456
  • CDIz -0.161
  • MRSAz -0.970

Fragility

Each reported measure moves the score by 0.1667 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate-0.3428-0.6705-0.00470.6657
CAUTI0.9376-0.8564-0.23890.6175
MRSA-0.9703-0.56150.05220.6137
CDI-0.1611-0.6972-0.08800.6092
CLABSI-0.8892-0.56660.04120.6078
SSI-1.4565-0.48040.12430.6047

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 MI (88 scored): 16.5th

Score distributionThreshold 0.3792Hospital -0.4804

Hospital score -0.4804. Penalty threshold 0.3792. Distribution of 88 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 16.1th

Score distributionThreshold 0.3792Hospital -0.4804

Hospital score -0.4804. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4804; 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.

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