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 RICHMOND

KY · Facility ID 180049 · FY2026

Total HAC Score

-0.8727

Percentile

6.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.8727

Hospital score -0.8727. 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 -0.152
  • CLABSIz -1.407
  • CAUTIN/A
  • SSIz -1.456
  • CDIz -1.110
  • MRSAz -0.239

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-0.1521-1.1390-0.34010.7989
MRSA-0.2389-1.1164-0.38000.7365
CDI-1.1098-0.9432-0.21220.7311
CLABSI-1.4065-0.8728-0.14340.7293
SSI-1.4565-0.8728-0.14710.7256

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 KY (56 scored): 4.5th

Score distributionThreshold 0.3792Hospital -0.8727

Hospital score -0.8727. Penalty threshold 0.3792. Distribution of 56 scored hospitals.

Percentile among hospitals with 5 reported measures (220 scored): 9.8th

Score distributionThreshold 0.3792Hospital -0.8727

Hospital score -0.8727. Penalty threshold 0.3792. Distribution of 220 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.8727; 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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