HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
FIRELANDS REGIONAL MEDICAL CENTER
OH · Facility ID 360025 · FY2026
Total HAC Score
-0.1562
Percentile
42.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1562. 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 -0.710
- CLABSIz -1.407
- CAUTIz 0.778
- SSIz -0.047
- CDIz 0.772
- MRSAz -0.325
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.7099 | -0.2851 | 0.3806 | 0.6658 |
| CAUTI | 0.7785 | -0.5057 | 0.1118 | 0.6175 |
| MRSA | -0.3245 | -0.3450 | 0.2687 | 0.6137 |
| CDI | 0.7720 | -0.5285 | 0.0807 | 0.6092 |
| CLABSI | -1.4065 | -0.1562 | 0.4516 | 0.6078 |
| SSI | -0.0467 | -0.3911 | 0.2135 | 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): 36.4th
Hospital score -0.1562. Penalty threshold 0.3792. Distribution of 114 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 39.1th
Hospital score -0.1562. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1562; 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.