HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
METRO NASHVILLE GENERAL HOSPITAL
TN · Facility ID 440111 · FY2026
Total HAC Score
-0.0818
Percentile
47.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0818. 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 -0.018
- CLABSIz -0.330
- CAUTIz 0.055
- SSIz 0.125
- CDIz -0.084
- MRSAz -0.239
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.0183 | -0.3260 | 0.3397 | 0.6657 |
| CAUTI | 0.0554 | -0.3108 | 0.3066 | 0.6175 |
| MRSA | -0.2389 | -0.2849 | 0.3288 | 0.6137 |
| CDI | -0.0837 | -0.3116 | 0.2976 | 0.6092 |
| CLABSI | -0.3301 | -0.2612 | 0.3466 | 0.6078 |
| SSI | 0.1246 | -0.3453 | 0.2593 | 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): 56.8th
Hospital score -0.0818. Penalty threshold 0.3792. Distribution of 73 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 44.7th
Hospital score -0.0818. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0818; 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.