Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

WILLIS KNIGHTON MEDICAL CENTER

LA · Facility ID 190111 · FY2026

Total HAC Score

0.7661

Percentile

89.0th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital 0.7661

Hospital score 0.7661. 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-90N/A
  • CLABSIz 0.983
  • CAUTIz 0.135
  • SSIz -0.093
  • CDIz 2.050
  • MRSAz 0.756

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
CAUTIcontrols fate0.13490.47541.21640.7410
MRSA0.75590.32351.06000.7365
CDI2.04980.06370.79480.7311
CLABSI0.98290.28821.01760.7293
SSI-0.09290.49341.21900.7256

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 LA (76 scored): 87.5th

Score distributionThreshold 0.3792Hospital 0.7661

Hospital score 0.7661. Penalty threshold 0.3792. Distribution of 76 scored hospitals.

Percentile among hospitals with 5 reported measures (220 scored): 81.6th

Score distributionThreshold 0.3792Hospital 0.7661

Hospital score 0.7661. Penalty threshold 0.3792. Distribution of 220 scored hospitals.

Plain-language verdict

As scored, the CMS file lists payment reduction Yes (Total HAC Score 0.7661; 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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