Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

KANSAS MEDICAL CENTER LLC

KS · Facility ID 170197 · FY2026

Total HAC Score

-0.3806

Percentile

27.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3806

Hospital score -0.3806. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -1.444
  • CLABSIz -1.407
  • CAUTIz 0.239
  • SSIz 2.172
  • CDIz -1.462
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.2000 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-1.4445-0.38840.41050.7989
CAUTI0.2386-0.69200.04900.7410
CDI-1.4622-0.38060.35050.7311
CLABSI-1.4065-0.38060.34880.7293
SSI2.1717-1.1062-0.38060.7256

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): 39.8th

Score distributionThreshold 0.3792Hospital -0.3806

Hospital score -0.3806. Penalty threshold 0.3792. Distribution of 44 scored hospitals.

Percentile among hospitals with 5 reported measures (220 scored): 32.5th

Score distributionThreshold 0.3792Hospital -0.3806

Hospital score -0.3806. Penalty threshold 0.3792. Distribution of 220 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3806; threshold 0.3792).

Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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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