HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ASCENSION ST JOHN JANE PHILLIPS
OK · Facility ID 370018 · FY2026
Total HAC Score
-0.4304
Percentile
24.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4304. 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 -0.611
- CLABSIz -1.407
- CAUTIz -1.319
- SSIz 0.109
- CDIz 0.315
- MRSAz 0.330
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.6112 | -0.5758 | 0.0900 | 0.6657 |
| CAUTI | -1.3186 | -0.4304 | 0.1871 | 0.6175 |
| MRSA | 0.3296 | -0.7282 | -0.1145 | 0.6137 |
| CDI | 0.3151 | -0.7266 | -0.1174 | 0.6092 |
| CLABSI | -1.4065 | -0.4304 | 0.1774 | 0.6078 |
| SSI | 0.1092 | -0.6913 | -0.0866 | 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 OK (68 scored): 28.7th
Hospital score -0.4304. Penalty threshold 0.3792. Distribution of 68 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 19.3th
Hospital score -0.4304. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4304; 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.