HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
BOONE HOSPITAL CENTER
MO · Facility ID 260068 · FY2026
Total HAC Score
-0.0542
Percentile
49.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0542. 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 -0.775
- CLABSIz 0.036
- CAUTIz 0.248
- SSIz 0.155
- CDIz -0.060
- MRSAz 0.070
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.7755 | -0.1722 | 0.4935 | 0.6658 |
| CAUTI | 0.2482 | -0.3154 | 0.3021 | 0.6175 |
| MRSA | 0.0704 | -0.3089 | 0.3049 | 0.6137 |
| CDI | -0.0605 | -0.2879 | 0.3213 | 0.6092 |
| CLABSI | 0.0364 | -0.2947 | 0.3131 | 0.6078 |
| SSI | 0.1555 | -0.3229 | 0.2818 | 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 MO (62 scored): 47.6th
Hospital score -0.0542. Penalty threshold 0.3792. Distribution of 62 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 47.1th
Hospital score -0.0542. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0542; 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.