HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
BETHESDA NORTH
OH · Facility ID 360179 · FY2026
Total HAC Score
-0.1892
Percentile
39.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1892. 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 -1.170
- CLABSIz 0.092
- CAUTIz 0.099
- SSIz 0.597
- CDIz -0.498
- MRSAz -0.256
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.1701 | -0.2414 | 0.4243 | 0.6657 |
| CAUTI | 0.0988 | -0.4255 | 0.1920 | 0.6175 |
| MRSA | -0.2556 | -0.3895 | 0.2242 | 0.6137 |
| CDI | -0.4980 | -0.3499 | 0.2593 | 0.6092 |
| CLABSI | 0.0921 | -0.4390 | 0.1688 | 0.6078 |
| SSI | 0.5974 | -0.5315 | 0.0732 | 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): 33.8th
Hospital score -0.1892. Penalty threshold 0.3792. Distribution of 114 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 36.6th
Hospital score -0.1892. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1892; 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.