HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ROGER WILLIAMS MEDICAL CENTER
RI · Facility ID 410004 · FY2026
Total HAC Score
-0.6710
Percentile
13.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.6710. 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 -0.778
- CLABSIz -1.407
- CAUTIz 0.798
- SSIz -1.456
- CDIz -0.877
- MRSAz -0.306
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.7776 | -0.7886 | -0.1229 | 0.6657 |
| CAUTI | 0.7978 | -1.0237 | -0.4062 | 0.6175 |
| MRSA | -0.3057 | -0.8629 | -0.2492 | 0.6137 |
| CDI | -0.8775 | -0.7684 | -0.1592 | 0.6092 |
| CLABSI | -1.4065 | -0.6710 | -0.0632 | 0.6078 |
| SSI | -1.4565 | -0.6710 | -0.0663 | 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 RI (10 scored): 25.0th
Hospital score -0.6710. Penalty threshold 0.3792. Distribution of 10 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 7.8th
Hospital score -0.6710. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.6710; 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.