Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

HURLEY MEDICAL CENTER

MI · Facility ID 230132 · FY2026

Total HAC Score

-0.3447

Percentile

29.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3447

Hospital score -0.3447. 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 -0.934
  • CLABSIz -1.031
  • CAUTIz 0.142
  • SSIz 0.027
  • CDIz 0.152
  • MRSAz -0.425

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-0.9344-0.43620.22950.6657
CAUTI0.1422-0.58820.02930.6175
MRSA-0.4249-0.51680.09690.6137
CDI0.1525-0.6138-0.00460.6092
CLABSI-1.0307-0.40740.20040.6078
SSI0.0270-0.59200.01270.6047

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): 23.3th

Score distributionThreshold 0.3792Hospital -0.3447

Hospital score -0.3447. Penalty threshold 0.3792. Distribution of 88 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 24.4th

Score distributionThreshold 0.3792Hospital -0.3447

Hospital score -0.3447. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3447; 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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