HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
BAYSHORE MEDICAL CENTER
NJ · Facility ID 310112 · FY2026
Total HAC Score
-0.6258
Percentile
14.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.6258. 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 -0.763
- CLABSIz -1.407
- CAUTIz -0.576
- SSIz 1.043
- CDIz -1.017
- MRSAz -1.035
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.7628 | -0.7459 | -0.0801 | 0.6658 |
| CAUTI | -0.5762 | -0.7495 | -0.1320 | 0.6175 |
| MRSA | -1.0351 | -0.6961 | -0.0824 | 0.6137 |
| CDI | -1.0169 | -0.7000 | -0.0908 | 0.6092 |
| CLABSI | -1.4065 | -0.6258 | -0.0180 | 0.6078 |
| SSI | 1.0428 | -1.0423 | -0.4376 | 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): 7.4th
Hospital score -0.6258. Penalty threshold 0.3792. Distribution of 61 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 8.8th
Hospital score -0.6258. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.6258; 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.