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 AT IRVING

TX · Facility ID 450079 · FY2026

Total HAC Score

-0.3734

Percentile

27.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3734

Hospital score -0.3734. 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 -0.947
  • CLABSIz -0.068
  • CAUTIz 0.272
  • SSIz 0.380
  • CDIz -1.083
  • MRSAz -0.795

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-0.9470-0.46280.20300.6657
CAUTI0.2723-0.6385-0.02110.6175
MRSA-0.7948-0.48380.12990.6137
CDI-1.0827-0.43660.17260.6092
CLABSI-0.0680-0.59650.01130.6078
SSI0.3799-0.6794-0.07480.6047

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): 41.4th

Score distributionThreshold 0.3792Hospital -0.3734

Hospital score -0.3734. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 22.6th

Score distributionThreshold 0.3792Hospital -0.3734

Hospital score -0.3734. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3734; 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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