Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MILTON S HERSHEY MEDICAL CENTER

PA · Facility ID 390256 · FY2026

Total HAC Score

-0.2150

Percentile

37.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2150

Hospital score -0.2150. 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 -0.786
  • CLABSIz 0.132
  • CAUTIz 0.219
  • SSIz -0.609
  • CDIz 0.714
  • MRSAz -0.960

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-0.7861-0.33120.33460.6657
CAUTI0.2193-0.47130.14620.6175
MRSA-0.9599-0.29790.31590.6137
CDI0.7139-0.57770.03160.6092
CLABSI0.1315-0.47130.13650.6078
SSI-0.6085-0.35630.24840.6047

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): 28.1th

Score distributionThreshold 0.3792Hospital -0.2150

Hospital score -0.2150. Penalty threshold 0.3792. Distribution of 130 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 34.3th

Score distributionThreshold 0.3792Hospital -0.2150

Hospital score -0.2150. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2150; 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.

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