Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MEMORIAL HOSPITAL AT GULFPORT

MS · Facility ID 250019 · FY2026

Total HAC Score

-0.1479

Percentile

42.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1479

Hospital score -0.1479. 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 0.497
  • CLABSIz -0.121
  • CAUTIz 0.031
  • SSIz -0.292
  • CDIz -0.595
  • MRSAz -0.408

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 fate0.4975-0.47800.18780.6658
CAUTI0.0313-0.37280.24470.6175
MRSA-0.4081-0.32270.29100.6137
CDI-0.5948-0.29240.31680.6092
CLABSI-0.1213-0.36200.24580.6078
SSI-0.2916-0.34200.26270.6047

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 MS (50 scored): 37.0th

Score distributionThreshold 0.3792Hospital -0.1479

Hospital score -0.1479. Penalty threshold 0.3792. Distribution of 50 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 39.9th

Score distributionThreshold 0.3792Hospital -0.1479

Hospital score -0.1479. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1479; 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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