OUR LADY OF FATIMA HOSPITAL

RI · Facility ID 410005 · FY2026

Total HAC Score

-0.7720

Percentile

10.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.7721

Live result

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

Simulated Total HAC

-0.7721

Δ from file score

-0.0001

File -0.7720

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 0.881Z file -0.747 → sim -0.747
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 0.335Z file -0.511 → sim -0.511
0.005.52
SSISurgical Site Infection (SSI)
SIR 0.746Z file -0.179 → sim -0.179
0.004.79
CDIClostridioides difficile Infection (CDI)
SIR 0.000Z file -1.462 → sim -1.462
0.003.32
No score impact — already at the measure floor.
MRSAMethicillin-resistant Staphylococcus aureus Bacteremia (MRSA)
SIR 0.541Z file -0.327 → sim -0.327
0.004.41

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

Insufficient data to score — solver unavailable.