Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

OCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT

LA · Facility ID 190317 · FY2026

Total HAC Score

-0.4597

Percentile

22.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4597

Hospital score -0.4597. 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 0.035
  • CLABSIz -0.151
  • CAUTIN/A
  • SSIz 0.400
  • CDIz -1.125
  • MRSAz -1.457

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 fate0.0352-0.76340.03550.7989
MRSA-1.4573-0.45970.27680.7365
CDI-1.1253-0.52710.20400.7311
CLABSI-0.1515-0.71070.01860.7293
SSI0.4004-0.8311-0.10540.7256

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): 17.8th

Score distributionThreshold 0.3792Hospital -0.4597

Hospital score -0.4597. Penalty threshold 0.3792. Distribution of 76 scored hospitals.

Percentile among hospitals with 5 reported measures (220 scored): 26.6th

Score distributionThreshold 0.3792Hospital -0.4597

Hospital score -0.4597. Penalty threshold 0.3792. Distribution of 220 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4597; 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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