Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

← All audits

Hospital audit

MERCY MEDICAL CENTER

OR · Facility ID 380027 · FY2026

Total HAC Score

-0.6386

Percentile

14.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.6386

Hospital score -0.6386. 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 -0.607
  • CLABSIz -1.407
  • CAUTIz -0.031
  • SSIz -1.148
  • CDIz -0.312
  • MRSAz -0.327

Fragility

Each reported measure moves the score by 0.1667 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate-0.6070-0.7847-0.11900.6657
CAUTI-0.0314-0.8532-0.23570.6175
MRSA-0.3266-0.8271-0.21340.6137
CDI-0.3122-0.8303-0.22110.6092
CLABSI-1.4065-0.6386-0.03080.6078
SSI-1.1481-0.6900-0.08530.6047

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 OR (32 scored): 4.7th

Score distributionThreshold 0.3792Hospital -0.6386

Hospital score -0.6386. Penalty threshold 0.3792. Distribution of 32 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 8.6th

Score distributionThreshold 0.3792Hospital -0.6386

Hospital score -0.6386. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.6386; 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.

Scan a hospital system →