HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SAINT MICHAEL'S MEDICAL CENTER
NJ · Facility ID 310096 · FY2026
Total HAC Score
-0.4521
Percentile
23.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4521. 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 0.211
- CLABSIz -1.031
- CAUTIz 0.612
- SSIz -0.708
- CDIz -1.284
- MRSAz -0.513
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.2106 | -0.7344 | -0.0686 | 0.6657 |
| CAUTI | 0.6122 | -0.7739 | -0.1564 | 0.6175 |
| MRSA | -0.5126 | -0.6095 | 0.0042 | 0.6137 |
| CDI | -1.2840 | -0.4818 | 0.1275 | 0.6092 |
| CLABSI | -1.0307 | -0.5147 | 0.0931 | 0.6078 |
| SSI | -0.7079 | -0.5768 | 0.0279 | 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 NJ (61 scored): 23.8th
Hospital score -0.4521. Penalty threshold 0.3792. Distribution of 61 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 18.1th
Hospital score -0.4521. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4521; 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.