Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

PRISMA HEALTH BAPTIST

SC · Facility ID 420086 · FY2026

Total HAC Score

-0.5081

Percentile

20.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5081

Hospital score -0.5081. 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 -1.483
  • CLABSIz 0.377
  • CAUTIz -0.781
  • SSIz 0.662
  • CDIz -0.994
  • MRSAz -0.830

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-1.4834-0.50810.15770.6657
CAUTI-0.7811-0.59770.01980.6175
MRSA-0.8303-0.61260.00110.6137
CDI-0.9936-0.58620.02300.6092
CLABSI0.3774-0.8054-0.19760.6078
SSI0.6625-0.8613-0.25660.6047

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): 24.5th

Score distributionThreshold 0.3792Hospital -0.5081

Hospital score -0.5081. Penalty threshold 0.3792. Distribution of 51 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 14.5th

Score distributionThreshold 0.3792Hospital -0.5081

Hospital score -0.5081. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5081; 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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