HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
BORGESS MEDICAL CENTER
MI · Facility ID 230117 · FY2026
Total HAC Score
-0.5367
Percentile
18.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5367. 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 -1.221
- CLABSIz -0.982
- CAUTIz -1.143
- SSIz -0.746
- CDIz 0.106
- MRSAz 0.764
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.2206 | -0.5806 | 0.0852 | 0.6657 |
| CAUTI | -1.1426 | -0.5661 | 0.0514 | 0.6175 |
| MRSA | 0.7643 | -0.9070 | -0.2933 | 0.6137 |
| CDI | 0.1060 | -0.7981 | -0.1889 | 0.6092 |
| CLABSI | -0.9820 | -0.6075 | 0.0003 | 0.6078 |
| SSI | -0.7456 | -0.6552 | -0.0505 | 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 MI (88 scored): 15.3th
Hospital score -0.5367. Penalty threshold 0.3792. Distribution of 88 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 12.2th
Hospital score -0.5367. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5367; 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.