HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MERCY HOSPITAL
MN · Facility ID 240115 · FY2026
Total HAC Score
-0.2834
Percentile
33.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2834. 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 -0.994
- CLABSIz -0.182
- CAUTIz -0.200
- SSIz 0.308
- CDIz -0.095
- MRSAz -0.538
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.9935 | -0.3650 | 0.3007 | 0.6658 |
| CAUTI | -0.2001 | -0.4698 | 0.1477 | 0.6175 |
| MRSA | -0.5377 | -0.4366 | 0.1771 | 0.6137 |
| CDI | -0.0953 | -0.5112 | 0.0980 | 0.6092 |
| CLABSI | -0.1816 | -0.4875 | 0.1203 | 0.6078 |
| SSI | 0.3079 | -0.5774 | 0.0272 | 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 MN (45 scored): 25.6th
Hospital score -0.2834. Penalty threshold 0.3792. Distribution of 45 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 29.1th
Hospital score -0.2834. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2834; 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.