Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

POPLAR BLUFF REGIONAL MEDICAL CENTER

MO · Facility ID 260119 · FY2026

Total HAC Score

-0.7488

Percentile

11.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7488

Hospital score -0.7488. 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 -0.782
  • CLABSIz -1.000
  • CAUTIz -1.046
  • SSIz -0.026
  • CDIz -0.680
  • MRSAz -0.958

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-0.7819-0.8657-0.19990.6657
CAUTI-1.0462-0.7942-0.17670.6175
MRSA-0.9578-0.8320-0.21830.6137
CDI-0.6800-0.8791-0.26990.6092
CLABSI-1.0005-0.8164-0.20860.6078
SSI-0.0261-0.9872-0.38250.6047

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): 2.4th

Score distributionThreshold 0.3792Hospital -0.7488

Hospital score -0.7488. Penalty threshold 0.3792. Distribution of 62 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 5.5th

Score distributionThreshold 0.3792Hospital -0.7488

Hospital score -0.7488. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7488; 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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