Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

UNIVERSITY OF KANSAS HOSPITAL

KS · Facility ID 170040 · FY2026

Total HAC Score

-0.0513

Percentile

49.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0513

Hospital score -0.0513. 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 -0.110
  • CLABSIz -0.284
  • CAUTIz -0.169
  • SSIz 1.110
  • CDIz 0.121
  • MRSAz -0.977

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-0.1100-0.28020.38550.6657
CAUTI-0.1688-0.24300.37450.6175
MRSA-0.9766-0.13150.48230.6137
CDI0.1215-0.31530.29390.6092
CLABSI-0.2837-0.23850.36930.6078
SSI1.1096-0.47900.12570.6047

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 KS (44 scored): 67.0th

Score distributionThreshold 0.3792Hospital -0.0513

Hospital score -0.0513. Penalty threshold 0.3792. Distribution of 44 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 47.3th

Score distributionThreshold 0.3792Hospital -0.0513

Hospital score -0.0513. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0513; 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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