Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

HCA FLORIDA BRANDON HOSPITAL

FL · Facility ID 100243 · FY2026

Total HAC Score

-0.4655

Percentile

22.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4655

Hospital score -0.4655. 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 -1.266
  • CLABSIz -0.476
  • CAUTIz -0.301
  • SSIz -0.007
  • CDIz -1.098
  • MRSAz 0.357

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-1.2664-0.50160.16410.6658
CAUTI-0.3014-0.6350-0.01750.6175
MRSA0.3568-0.7678-0.15410.6137
CDI-1.0982-0.52610.08310.6092
CLABSI-0.4762-0.6205-0.01270.6078
SSI-0.0073-0.7070-0.10230.6047

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 FL (165 scored): 29.4th

Score distributionThreshold 0.3792Hospital -0.4655

Hospital score -0.4655. Penalty threshold 0.3792. Distribution of 165 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 16.7th

Score distributionThreshold 0.3792Hospital -0.4655

Hospital score -0.4655. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4655; 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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