HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
BAPTIST MEMORIAL HOSPITAL NORTH MS
MS · Facility ID 250034 · FY2026
Total HAC Score
-0.1555
Percentile
42.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1555. 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 -0.571
- CLABSIz -0.049
- CAUTIz -1.094
- SSIz 1.211
- CDIz -0.847
- MRSAz 0.417
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.5708 | -0.3076 | 0.3582 | 0.6658 |
| CAUTI | -1.0944 | -0.1929 | 0.4246 | 0.6175 |
| MRSA | 0.4174 | -0.4679 | 0.1458 | 0.6137 |
| CDI | -0.8465 | -0.2581 | 0.3511 | 0.6092 |
| CLABSI | -0.0494 | -0.3817 | 0.2261 | 0.6078 |
| SSI | 1.2107 | -0.6000 | 0.0047 | 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 MS (50 scored): 35.0th
Hospital score -0.1555. Penalty threshold 0.3792. Distribution of 50 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 39.2th
Hospital score -0.1555. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1555; 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.