HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST MARY'S REGIONAL MEDICAL CENTER
OK · Facility ID 370026 · FY2026
Total HAC Score
-0.1730
Percentile
40.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1730. 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 0.028
- CLABSIz -1.407
- CAUTIz -0.162
- SSIz -0.507
- CDIz 0.377
- MRSAz 0.633
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0278 | -0.4249 | 0.2409 | 0.6657 |
| CAUTI | -0.1616 | -0.3659 | 0.2516 | 0.6175 |
| MRSA | 0.6326 | -0.5213 | 0.0924 | 0.6137 |
| CDI | 0.3771 | -0.4796 | 0.1296 | 0.6092 |
| CLABSI | -1.4065 | -0.1730 | 0.4348 | 0.6078 |
| SSI | -0.5075 | -0.3312 | 0.2735 | 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 OK (68 scored): 49.3th
Hospital score -0.1730. Penalty threshold 0.3792. Distribution of 68 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 37.9th
Hospital score -0.1730. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1730; 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.