HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
THE MIRIAM HOSPITAL
RI · Facility ID 410012 · FY2026
Total HAC Score
-0.4093
Percentile
25.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4093. 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 -1.328
- CLABSIz -0.602
- CAUTIz 0.091
- SSIz -0.504
- CDIz -0.033
- MRSAz -0.080
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.3284 | -0.4351 | 0.2306 | 0.6658 |
| CAUTI | 0.0915 | -0.6443 | -0.0268 | 0.6175 |
| MRSA | -0.0800 | -0.6389 | -0.0251 | 0.6137 |
| CDI | -0.0334 | -0.6474 | -0.0382 | 0.6092 |
| CLABSI | -0.6015 | -0.5435 | 0.0643 | 0.6078 |
| SSI | -0.5040 | -0.5680 | 0.0366 | 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): 35.0th
Hospital score -0.4093. Penalty threshold 0.3792. Distribution of 10 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 20.2th
Hospital score -0.4093. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4093; 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.