HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
COX MEDICAL CENTER BRANSON
MO · Facility ID 260094 · FY2026
Total HAC Score
-0.4681
Percentile
22.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4681. 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 -0.079
- CLABSIz -0.117
- CAUTIz 0.118
- SSIz -1.456
- CDIz -0.595
- MRSAz -0.680
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.0790 | -0.7022 | -0.0364 | 0.6657 |
| CAUTI | 0.1181 | -0.7076 | -0.0901 | 0.6175 |
| MRSA | -0.6798 | -0.5977 | 0.0160 | 0.6137 |
| CDI | -0.5948 | -0.6127 | -0.0035 | 0.6092 |
| CLABSI | -0.1167 | -0.6831 | -0.0753 | 0.6078 |
| SSI | -1.4565 | -0.4681 | 0.1366 | 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): 18.5th
Hospital score -0.4681. Penalty threshold 0.3792. Distribution of 62 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 16.6th
Hospital score -0.4681. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4681; 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.