Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

Memorial Hospital Biloxi

MS · Facility ID 250007 · FY2026

Total HAC Score

-0.4842

Percentile

21.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4842

Hospital score -0.4842. 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 0.188
  • CLABSIz 0.971
  • CAUTIz -0.280
  • SSIz -0.866
  • CDIz -1.462
  • MRSAz -1.457

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 fate0.1882-0.7628-0.09710.6657
CAUTI-0.2797-0.6573-0.03990.6175
MRSA-1.4573-0.48420.12950.6137
CDI-1.4622-0.48420.12500.6092
CLABSI0.9713-0.8805-0.27270.6078
SSI-0.8655-0.58270.02200.6047

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 MS (50 scored): 25.0th

Score distributionThreshold 0.3792Hospital -0.4842

Hospital score -0.4842. Penalty threshold 0.3792. Distribution of 50 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 15.7th

Score distributionThreshold 0.3792Hospital -0.4842

Hospital score -0.4842. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4842; 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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