HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
BARNES-JEWISH WEST COUNTY HOSPITAL
MO · Facility ID 260162 · FY2026
Total HAC Score
-0.6126
Percentile
15.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.6126. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -1.465
- CLABSIz 0.266
- CAUTIz -0.668
- SSIz -0.304
- CDIz -0.893
- MRSAN/A
Fragility
Each reported measure moves the score by 0.2000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.4646 | -0.6163 | 0.1826 | 0.7989 |
| CAUTI | -0.6678 | -0.7427 | -0.0018 | 0.7410 |
| CDI | -0.8930 | -0.7264 | 0.0046 | 0.7311 |
| CLABSI | 0.2661 | -0.9471 | -0.2178 | 0.7293 |
| SSI | -0.3036 | -0.8432 | -0.1175 | 0.7256 |
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): 8.9th
Hospital score -0.6126. Penalty threshold 0.3792. Distribution of 62 scored hospitals.
Percentile among hospitals with 5 reported measures (220 scored): 18.9th
Hospital score -0.6126. Penalty threshold 0.3792. Distribution of 220 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.6126; threshold 0.3792).
Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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.