Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

LECONTE MEDICAL CENTER

TN · Facility ID 440081 · FY2026

Total HAC Score

-0.3076

Percentile

31.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3076

Hospital score -0.3076. 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 -0.502
  • CLABSIz 0.015
  • CAUTIz -0.232
  • SSIz -1.456
  • CDIz -0.858
  • MRSAz 1.186

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-0.5016-0.47130.19450.6658
CAUTI-0.2315-0.48880.12870.6175
MRSA1.1864-0.7482-0.13450.6137
CDI-0.8581-0.40830.20090.6092
CLABSI0.0155-0.54460.06310.6078
SSI-1.4565-0.30760.29710.6047

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): 37.7th

Score distributionThreshold 0.3792Hospital -0.3076

Hospital score -0.3076. Penalty threshold 0.3792. Distribution of 73 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 27.2th

Score distributionThreshold 0.3792Hospital -0.3076

Hospital score -0.3076. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3076; 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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