HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
TRISTAR SKYLINE MEDICAL CENTER
TN · Facility ID 440006 · FY2026
Total HAC Score
-0.2761
Percentile
33.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2761. 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 -0.423
- CLABSIz 0.094
- CAUTIz -0.485
- SSIz -0.679
- CDIz -0.800
- MRSAz 0.635
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.4226 | -0.4529 | 0.2128 | 0.6657 |
| CAUTI | -0.4846 | -0.4151 | 0.2023 | 0.6175 |
| MRSA | 0.6347 | -0.6248 | -0.0111 | 0.6137 |
| CDI | -0.8000 | -0.3865 | 0.2227 | 0.6092 |
| CLABSI | 0.0944 | -0.5263 | 0.0815 | 0.6078 |
| SSI | -0.6788 | -0.4058 | 0.1989 | 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 TN (73 scored): 39.0th
Hospital score -0.2761. Penalty threshold 0.3792. Distribution of 73 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 29.7th
Hospital score -0.2761. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2761; 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.