Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

OKLAHOMA SURGICAL HOSPITAL, LLC

OK · Facility ID 370210 · FY2026

Total HAC Score

-0.4117

Percentile

25.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4117

Hospital score -0.4117. 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 -1.454
  • CLABSIz 1.999
  • CAUTIz -1.319
  • SSIz -0.639
  • CDIz -0.645
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.2000 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-1.4542-0.41750.38140.7989
CAUTI-1.3186-0.41170.32930.7410
CDI-0.6452-0.57510.15600.7311
CLABSI1.9990-1.0928-0.36340.7293
SSI-0.6394-0.57510.15050.7256

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 OK (68 scored): 31.6th

Score distributionThreshold 0.3792Hospital -0.4117

Hospital score -0.4117. Penalty threshold 0.3792. Distribution of 68 scored hospitals.

Percentile among hospitals with 5 reported measures (220 scored): 30.2th

Score distributionThreshold 0.3792Hospital -0.4117

Hospital score -0.4117. Penalty threshold 0.3792. Distribution of 220 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4117; 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.

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