HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
DELTA HEALTH SYSTEM - THE MEDICAL CENTER
MS · Facility ID 250082 · FY2026
Total HAC Score
-1.2378
Percentile
1.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -1.2378. 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 -0.326
- CLABSIz -1.407
- CAUTIz -1.319
- SSIz -1.456
- CDIz -1.462
- MRSAz -1.457
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.3256 | -1.4307 | -0.7650 | 0.6657 |
| CAUTI | -1.3186 | -1.2378 | -0.6203 | 0.6175 |
| MRSA | -1.4573 | -1.2378 | -0.6241 | 0.6137 |
| CDI | -1.4622 | -1.2378 | -0.6286 | 0.6092 |
| CLABSI | -1.4065 | -1.2378 | -0.6300 | 0.6078 |
| SSI | -1.4565 | -1.2378 | -0.6331 | 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 MS (50 scored): 5.0th
Hospital score -1.2378. Penalty threshold 0.3792. Distribution of 50 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 0.1th
Hospital score -1.2378. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -1.2378; 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.