Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

BAPTIST MEMORIAL HOSPITAL UNION CITY

TN · Facility ID 440130 · FY2026

Total HAC Score

-0.3870

Percentile

27.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3870

Hospital score -0.3870. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 4 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.480
  • CLABSIN/A
  • CAUTIz -1.319
  • SSIz 0.548
  • CDIz -0.297
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.2500 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-0.4803-0.63780.36090.9986
CAUTI-1.3186-0.38700.53930.9262
CDI-0.2967-0.67840.23550.9138
SSI0.5477-0.88800.01900.9070

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): 29.5th

Score distributionThreshold 0.3792Hospital -0.3870

Hospital score -0.3870. Penalty threshold 0.3792. Distribution of 73 scored hospitals.

Percentile among hospitals with 4 reported measures (139 scored): 29.9th

Score distributionThreshold 0.3792Hospital -0.3870

Hospital score -0.3870. Penalty threshold 0.3792. Distribution of 139 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3870; threshold 0.3792).

Reported on 4 of 6 measures; each reported measure moves the equal-weighted score by 0.2500 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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