MOUNT ST. MARY'S HOSPITAL & HEALTH CENTER

NY · Facility ID 330188 · FY2026

Total HAC Score

-1.0615

Percentile

3.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -1.0616

Live result

Equal-weight mean of edited reported Z · threshold 0.3792(strict >) · simulated/illustrative

Simulated Total HAC

-1.0616

Δ from file score

-0.0001

File -1.0615

Not penalized (simulated)

Drag reported SIRs (PSI-90: Composite Value). Z updates live via the empirical map, clamped to each measure's floor/cap.

PSI-90Patient Safety and Adverse Events Composite (PSI-90)
Composite Value 0.976Z file -0.089 → sim -0.089
0.273.32
CLABSICentral Line-Associated Bloodstream Infection (CLABSI)
SIR 0.000Z file -1.407 → sim -1.406
0.007.96
No score impact — already at the measure floor.
CAUTICatheter-Associated Urinary Tract Infection (CAUTI)
SIR 0.000Z file -1.319 → sim -1.319
0.005.52
No score impact — already at the measure floor.
SSIUnreported
Results are not available for this reporting period.
CDIClostridioides difficile Infection (CDI)
SIR 0.110Z file -1.036 → sim -1.036
0.003.32
MRSAMethicillin-resistant Staphylococcus aureus Bacteremia (MRSA)
SIR 0.000Z file -1.457 → sim -1.457
0.004.41
No score impact — already at the measure floor.

Smallest change to clear (or cushion before crossing) the 0.3792 threshold — holding other measures fixed. Simulated/illustrative.

Insufficient data to score — solver unavailable.