HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
BAPTIST HEALTH DEACONESS MADISONVILLE
KY · Facility ID 180093 · FY2026
Total HAC Score
-0.3353
Percentile
30.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3353. 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 0.389
- CLABSIz -1.407
- CAUTIz -0.275
- SSIz -0.304
- CDIz -0.699
- MRSAz 0.284
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.3888 | -0.6474 | 0.0184 | 0.6658 |
| CAUTI | -0.2749 | -0.5093 | 0.1082 | 0.6175 |
| MRSA | 0.2836 | -0.6255 | -0.0118 | 0.6137 |
| CDI | -0.6994 | -0.4625 | 0.1467 | 0.6092 |
| CLABSI | -1.4065 | -0.3353 | 0.2724 | 0.6078 |
| SSI | -0.3036 | -0.5275 | 0.0772 | 0.6047 |
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 KY (56 scored): 18.8th
Hospital score -0.3353. Penalty threshold 0.3792. Distribution of 56 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 25.1th
Hospital score -0.3353. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3353; 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.