Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM

LA · Facility ID 190041 · FY2026

Total HAC Score

-0.1423

Percentile

43.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1423

Hospital score -0.1423. 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 0.150
  • CLABSIz 0.712
  • CAUTIz -1.169
  • SSIz -1.179
  • CDIz -0.297
  • MRSAz 0.929

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 fate0.1503-0.41460.25120.6658
CAUTI-1.1692-0.16720.45030.6175
MRSA0.9294-0.54010.07370.6137
CDI-0.2967-0.33650.27270.6092
CLABSI0.7115-0.49530.11250.6078
SSI-1.1790-0.18850.41620.6047

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 LA (76 scored): 40.1th

Score distributionThreshold 0.3792Hospital -0.1423

Hospital score -0.1423. Penalty threshold 0.3792. Distribution of 76 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 40.3th

Score distributionThreshold 0.3792Hospital -0.1423

Hospital score -0.1423. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1423; 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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