HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MERCY MEDICAL CENTER
OR · Facility ID 380027 · FY2026
Total HAC Score
-0.6386
Percentile
14.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
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.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.6070 | -0.7847 | -0.1190 | 0.6657 |
| CAUTI | -0.0314 | -0.8532 | -0.2357 | 0.6175 |
| MRSA | -0.3266 | -0.8271 | -0.2134 | 0.6137 |
| CDI | -0.3122 | -0.8303 | -0.2211 | 0.6092 |
| CLABSI | -1.4065 | -0.6386 | -0.0308 | 0.6078 |
| SSI | -1.1481 | -0.6900 | -0.0853 | 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 OR (32 scored): 4.7th
Hospital score -0.6386. Penalty threshold 0.3792. Distribution of 32 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 8.6th
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.