Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK

AR · Facility ID 040036 · FY2026

Total HAC Score

-0.1074

Percentile

45.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1074

Hospital score -0.1074. 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 -0.344
  • CLABSIz -0.748
  • CAUTIz -0.810
  • SSIz 0.868
  • CDIz -0.359
  • MRSAz 0.748

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-0.3435-0.29730.36840.6658
CAUTI-0.8100-0.19210.42540.6175
MRSA0.7476-0.47480.13890.6137
CDI-0.3586-0.29130.31790.6092
CLABSI-0.7477-0.21720.39060.6078
SSI0.8681-0.49480.10990.6047

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 AR (39 scored): 47.4th

Score distributionThreshold 0.3792Hospital -0.1074

Hospital score -0.1074. Penalty threshold 0.3792. Distribution of 39 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 43.0th

Score distributionThreshold 0.3792Hospital -0.1074

Hospital score -0.1074. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1074; 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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