MARY IMMACULATE HOSPITAL

VA · Facility ID 490041 · FY2026

Total HAC Score

-1.0737

Percentile

3.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -1.0737

Live result

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

Simulated Total HAC

-1.0737

Δ from file score

+0.0000

File -1.0737

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 0.766Z file -1.483 → sim -1.483
0.273.32
No score impact — already at the measure floor.
CLABSICentral Line-Associated Bloodstream Infection (CLABSI)
SIR 0.560Z file -0.107 → sim -0.107
0.007.96
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.
SSISurgical Site Infection (SSI)
SIR 0.377Z file -0.811 → sim -0.811
0.004.79
CDIClostridioides difficile Infection (CDI)
SIR 0.051Z file -1.265 → sim -1.265
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.