HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
HURLEY MEDICAL CENTER
MI · Facility ID 230132 · FY2026
Total HAC Score
-0.3447
Percentile
29.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
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.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.9344 | -0.4362 | 0.2295 | 0.6657 |
| CAUTI | 0.1422 | -0.5882 | 0.0293 | 0.6175 |
| MRSA | -0.4249 | -0.5168 | 0.0969 | 0.6137 |
| CDI | 0.1525 | -0.6138 | -0.0046 | 0.6092 |
| CLABSI | -1.0307 | -0.4074 | 0.2004 | 0.6078 |
| SSI | 0.0270 | -0.5920 | 0.0127 | 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): 23.3th
Hospital score -0.3447. Penalty threshold 0.3792. Distribution of 88 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 24.4th
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.