Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

GRAND STRAND REGIONAL MEDICAL CENTER

SC · Facility ID 420085 · FY2026

Total HAC Score

-0.1984

Percentile

38.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1984

Hospital score -0.1984. 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 -0.289
  • CLABSIz -0.256
  • CAUTIz -0.511
  • SSIz 0.387
  • CDIz -0.715
  • MRSAz 0.194

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-0.2889-0.39750.26830.6658
CAUTI-0.5111-0.33300.28450.6175
MRSA0.1937-0.47360.14020.6137
CDI-0.7149-0.32290.28630.6092
CLABSI-0.2559-0.39020.21760.6078
SSI0.3867-0.50560.09910.6047

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): 40.2th

Score distributionThreshold 0.3792Hospital -0.1984

Hospital score -0.1984. Penalty threshold 0.3792. Distribution of 51 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 35.5th

Score distributionThreshold 0.3792Hospital -0.1984

Hospital score -0.1984. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1984; 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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