HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
DOYLESTOWN HOSPITAL
PA · Facility ID 390203 · FY2026
Total HAC Score
-0.0574
Percentile
49.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0574. 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 -1.483
- CLABSIz -0.112
- CAUTIz -0.246
- SSIz 0.560
- CDIz 0.896
- MRSAz 0.041
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.4834 | -0.0574 | 0.6083 | 0.6657 |
| CAUTI | -0.2459 | -0.2362 | 0.3813 | 0.6175 |
| MRSA | 0.0412 | -0.3072 | 0.3066 | 0.6137 |
| CDI | 0.8959 | -0.4504 | 0.1588 | 0.6092 |
| CLABSI | -0.1120 | -0.2732 | 0.3346 | 0.6078 |
| SSI | 0.5597 | -0.3935 | 0.2113 | 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 PA (130 scored): 35.8th
Hospital score -0.0574. Penalty threshold 0.3792. Distribution of 130 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 46.7th
Hospital score -0.0574. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0574; 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.