HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
CAROLINA EAST MEDICAL CENTER
NC · Facility ID 340131 · FY2026
Total HAC Score
-0.3772
Percentile
27.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3772. 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 -0.917
- CLABSIz -0.384
- CAUTIz -0.010
- SSIz -0.119
- CDIz 0.106
- MRSAz -0.941
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.9166 | -0.4717 | 0.1940 | 0.6658 |
| CAUTI | -0.0097 | -0.5954 | 0.0221 | 0.6175 |
| MRSA | -0.9411 | -0.4633 | 0.1504 | 0.6137 |
| CDI | 0.1060 | -0.6386 | -0.0294 | 0.6092 |
| CLABSI | -0.3835 | -0.5478 | 0.0600 | 0.6078 |
| SSI | -0.1186 | -0.6002 | 0.0045 | 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 NC (79 scored): 19.6th
Hospital score -0.3772. Penalty threshold 0.3792. Distribution of 79 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 22.3th
Hospital score -0.3772. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3772; 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.