Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MUNSON MEDICAL CENTER

MI · Facility ID 230097 · FY2026

Total HAC Score

-0.0337

Percentile

50.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0337

Hospital score -0.0337. 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 -1.180
  • CLABSIz 0.623
  • CAUTIz 0.405
  • SSIz 1.014
  • CDIz -0.754
  • MRSAz -0.310

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-1.1804-0.08420.58160.6657
CAUTI0.4049-0.32090.29660.6175
MRSA-0.3099-0.22490.38880.6137
CDI-0.7536-0.15180.45740.6092
CLABSI0.6233-0.37200.23580.6078
SSI1.0137-0.44540.15930.6047

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): 46.0th

Score distributionThreshold 0.3792Hospital -0.0337

Hospital score -0.0337. Penalty threshold 0.3792. Distribution of 88 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 48.6th

Score distributionThreshold 0.3792Hospital -0.0337

Hospital score -0.0337. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0337; 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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