Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

HILLCREST HOSPITAL SOUTH

OK · Facility ID 370202 · FY2026

Total HAC Score

-0.7293

Percentile

11.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7293

Hospital score -0.7293. 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 0.103
  • CLABSIz -0.831
  • CAUTIz -0.547
  • SSIz -0.648
  • CDIz -1.292
  • MRSAz -1.161

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 fate0.1030-0.9937-0.32790.6657
CAUTI-0.5472-0.8578-0.24040.6175
MRSA-1.1605-0.7787-0.16500.6137
CDI-1.2918-0.7577-0.14850.6092
CLABSI-0.8312-0.8252-0.21740.6078
SSI-0.6479-0.8640-0.25930.6047

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): 19.9th

Score distributionThreshold 0.3792Hospital -0.7293

Hospital score -0.7293. Penalty threshold 0.3792. Distribution of 68 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 5.9th

Score distributionThreshold 0.3792Hospital -0.7293

Hospital score -0.7293. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7293; 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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