Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

WILLIAMSON MEDICAL CENTER

TN · Facility ID 440029 · FY2026

Total HAC Score

-0.0100

Percentile

52.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0100

Hospital score -0.0100. 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 -0.437
  • CLABSIz 2.240
  • CAUTIz 0.858
  • SSIz -1.148
  • CDIz -0.816
  • MRSAz -0.757

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-0.4373-0.18430.48140.6657
CAUTI0.8581-0.37270.24480.6175
MRSA-0.7571-0.12660.48710.6137
CDI-0.8155-0.11770.49150.6092
CLABSI2.2402-0.6177-0.00990.6078
SSI-1.1481-0.06130.54330.6047

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): 58.2th

Score distributionThreshold 0.3792Hospital -0.0100

Hospital score -0.0100. Penalty threshold 0.3792. Distribution of 73 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 50.2th

Score distributionThreshold 0.3792Hospital -0.0100

Hospital score -0.0100. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0100; 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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