HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MERCY HEALTH - TIFFIN HOSPITAL
OH · Facility ID 360089 · FY2026
Total HAC Score
-0.7787
Percentile
9.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.7787. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 3 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.585
- CLABSIN/A
- CAUTIz -1.319
- SSIN/A
- CDIz -0.432
- MRSAN/A
Fragility
Each reported measure moves the score by 0.3333 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.5852 | -1.0781 | 0.2534 | 1.3315 |
| CAUTI | -1.3186 | -0.7787 | 0.4563 | 1.2350 |
| CDI | -0.4322 | -1.1220 | 0.0964 | 1.2184 |
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): 6.6th
Hospital score -0.7787. Penalty threshold 0.3792. Distribution of 114 scored hospitals.
Percentile among hospitals with 3 reported measures (196 scored): 14.5th
Hospital score -0.7787. Penalty threshold 0.3792. Distribution of 196 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.7787; threshold 0.3792).
Reported on 3 of 6 measures; each reported measure moves the equal-weighted score by 0.3333 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.