Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MISSOURI BAPTIST MEDICAL CENTER

MO · Facility ID 260108 · FY2026

Total HAC Score

-0.2793

Percentile

33.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2793

Hospital score -0.2793. 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 -1.483
  • CLABSIz -0.052
  • CAUTIz -0.195
  • SSIz 0.137
  • CDIz 0.125
  • MRSAz -0.207

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 fate-1.4834-0.27930.38640.6658
CAUTI-0.1953-0.46650.15090.6175
MRSA-0.2075-0.48760.12610.6137
CDI0.1254-0.54390.06530.6092
CLABSI-0.0517-0.50510.10270.6078
SSI0.1366-0.54480.05990.6047

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): 31.5th

Score distributionThreshold 0.3792Hospital -0.2793

Hospital score -0.2793. Penalty threshold 0.3792. Distribution of 62 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 29.4th

Score distributionThreshold 0.3792Hospital -0.2793

Hospital score -0.2793. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2793; 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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