HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MUSC HEALTH LANCASTER MEDICAL CENTER
SC · Facility ID 420036 · FY2026
Total HAC Score
-0.3119
Percentile
31.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3119. 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 -1.092
- CLABSIz -0.537
- CAUTIz -0.921
- SSIz 0.373
- CDIz -1.462
- MRSAz 1.767
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0923 | -0.3771 | 0.2886 | 0.6658 |
| CAUTI | -0.9209 | -0.3782 | 0.2393 | 0.6175 |
| MRSA | 1.7674 | -0.8494 | -0.2357 | 0.6137 |
| CDI | -1.4622 | -0.3119 | 0.2973 | 0.6092 |
| CLABSI | -0.5366 | -0.4569 | 0.1509 | 0.6078 |
| SSI | 0.3730 | -0.6169 | -0.0122 | 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 SC (51 scored): 36.3th
Hospital score -0.3119. Penalty threshold 0.3792. Distribution of 51 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 27.0th
Hospital score -0.3119. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3119; 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.