Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

BROOKWOOD BAPTIST MEDICAL CENTER

AL · Facility ID 010139 · FY2026

Total HAC Score

-0.2243

Percentile

37.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2243

Hospital score -0.2243. 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 -0.300
  • CLABSIz -0.114
  • CAUTIz -0.270
  • SSIz -0.823
  • CDIz 0.087
  • MRSAz 0.075

Fragility

Each reported measure moves the score by 0.1667 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate-0.2998-0.42150.24420.6657
CAUTI-0.2700-0.39900.21850.6175
MRSA0.0746-0.47960.13410.6137
CDI0.0867-0.48240.12680.6092
CLABSI-0.1144-0.43960.16820.6078
SSI-0.8227-0.32990.27480.6047

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 AL (68 scored): 36.0th

Score distributionThreshold 0.3792Hospital -0.2243

Hospital score -0.2243. Penalty threshold 0.3792. Distribution of 68 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 33.6th

Score distributionThreshold 0.3792Hospital -0.2243

Hospital score -0.2243. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2243; 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.

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