HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
WELLMONT BRISTOL REGIONAL MEDICAL CENTER
TN · Facility ID 440012 · FY2026
Total HAC Score
-0.1675
Percentile
41.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1675. 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 -1.359
- CLABSIz 0.452
- CAUTIz 0.101
- SSIz -0.273
- CDIz -0.049
- MRSAz 0.123
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.3587 | -0.1883 | 0.4775 | 0.6658 |
| CAUTI | 0.1012 | -0.4041 | 0.2134 | 0.6175 |
| MRSA | 0.1227 | -0.4308 | 0.1829 | 0.6137 |
| CDI | -0.0489 | -0.4030 | 0.2062 | 0.6092 |
| CLABSI | 0.4517 | -0.4772 | 0.1306 | 0.6078 |
| SSI | -0.2728 | -0.3647 | 0.2399 | 0.6047 |
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 TN (73 scored): 52.7th
Hospital score -0.1675. Penalty threshold 0.3792. Distribution of 73 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 38.4th
Hospital score -0.1675. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1675; 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.