Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

INTEGRIS SOUTHWEST MEDICAL CENTER

OK · Facility ID 370106 · FY2026

Total HAC Score

-0.2345

Percentile

36.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2345

Hospital score -0.2345. 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 -0.427
  • CLABSIz -1.126
  • CAUTIz -0.395
  • SSIz 1.284
  • CDIz -0.847
  • MRSAz 0.104

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-0.4274-0.41050.25530.6658
CAUTI-0.3954-0.38830.22910.6175
MRSA0.1039-0.49470.11900.6137
CDI-0.8465-0.33710.27210.6092
CLABSI-1.1258-0.28130.32650.6078
SSI1.2843-0.6913-0.08660.6047

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): 44.9th

Score distributionThreshold 0.3792Hospital -0.2345

Hospital score -0.2345. Penalty threshold 0.3792. Distribution of 68 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 32.6th

Score distributionThreshold 0.3792Hospital -0.2345

Hospital score -0.2345. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2345; 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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