Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

LEXINGTON MEDICAL CENTER

SC · Facility ID 420073 · FY2026

Total HAC Score

-0.5967

Percentile

15.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5967

Hospital score -0.5967. 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 -0.758
  • CLABSIz -0.794
  • CAUTIz -0.193
  • SSIz -0.812
  • CDIz -0.370
  • MRSAz -0.653

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-0.7581-0.7176-0.05190.6657
CAUTI-0.1929-0.7843-0.16690.6175
MRSA-0.6527-0.7308-0.11710.6137
CDI-0.3702-0.7787-0.16950.6092
CLABSI-0.7941-0.6988-0.09100.6078
SSI-0.8124-0.7041-0.09940.6047

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 SC (51 scored): 20.6th

Score distributionThreshold 0.3792Hospital -0.5967

Hospital score -0.5967. Penalty threshold 0.3792. Distribution of 51 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 9.7th

Score distributionThreshold 0.3792Hospital -0.5967

Hospital score -0.5967. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5967; 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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