HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MOUNT CARMEL ST ANN'S
OH · Facility ID 360012 · FY2026
Total HAC Score
-0.1817
Percentile
40.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1817. 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 -0.992
- CLABSIz -0.158
- CAUTIz 0.366
- SSIz 0.231
- CDIz -0.827
- MRSAz 0.290
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.9917 | -0.2636 | 0.4021 | 0.6657 |
| CAUTI | 0.3663 | -0.4625 | 0.1550 | 0.6175 |
| MRSA | 0.2899 | -0.4729 | 0.1408 | 0.6137 |
| CDI | -0.8271 | -0.2876 | 0.3217 | 0.6092 |
| CLABSI | -0.1584 | -0.3897 | 0.2181 | 0.6078 |
| SSI | 0.2308 | -0.4629 | 0.1418 | 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 OH (114 scored): 35.5th
Hospital score -0.1817. Penalty threshold 0.3792. Distribution of 114 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 37.2th
Hospital score -0.1817. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1817; 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.