HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION
TN · Facility ID 440030 · FY2026
Total HAC Score
-0.2186
Percentile
37.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2186. 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 -0.044
- CLABSIz -1.017
- CAUTIz 0.820
- SSIz -0.120
- CDIz -1.218
- MRSAz 0.269
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.0445 | -0.4584 | 0.2074 | 0.6657 |
| CAUTI | 0.8195 | -0.5749 | 0.0426 | 0.6175 |
| MRSA | 0.2690 | -0.5063 | 0.1075 | 0.6137 |
| CDI | -1.2182 | -0.2592 | 0.3500 | 0.6092 |
| CLABSI | -1.0168 | -0.2835 | 0.3243 | 0.6078 |
| SSI | -0.1203 | -0.4412 | 0.1635 | 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): 49.3th
Hospital score -0.2186. Penalty threshold 0.3792. Distribution of 73 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 33.9th
Hospital score -0.2186. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2186; 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.