Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE

TX · Facility ID 450054 · FY2026

Total HAC Score

-0.0514

Percentile

49.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0514

Hospital score -0.0514. 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 0.645
  • CLABSIz -0.230
  • CAUTIz -0.318
  • SSIz 0.287
  • CDIz -0.401
  • MRSAz -0.291

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 fate0.6450-0.40620.25960.6658
CAUTI-0.3183-0.21810.39930.6175
MRSA-0.2911-0.24580.36790.6137
CDI-0.4012-0.22820.38100.6092
CLABSI-0.2303-0.24750.36030.6078
SSI0.2874-0.34210.26260.6047

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 TX (255 scored): 65.7th

Score distributionThreshold 0.3792Hospital -0.0514

Hospital score -0.0514. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 47.2th

Score distributionThreshold 0.3792Hospital -0.0514

Hospital score -0.0514. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0514; 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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