Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC

TX · Facility ID 450107 · FY2026

Total HAC Score

-0.5858

Percentile

16.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5858

Hospital score -0.5858. 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 -1.268
  • CLABSIz -0.351
  • CAUTIz -0.583
  • SSIz 0.525
  • CDIz -1.152
  • MRSAz -0.686

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-1.2677-0.62180.04390.6657
CAUTI-0.5834-0.7084-0.09090.6175
MRSA-0.6861-0.7144-0.10070.6137
CDI-1.1524-0.6375-0.02830.6092
CLABSI-0.3510-0.7618-0.15400.6078
SSI0.5255-0.9162-0.31150.6047

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): 26.1th

Score distributionThreshold 0.3792Hospital -0.5858

Hospital score -0.5858. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 10.0th

Score distributionThreshold 0.3792Hospital -0.5858

Hospital score -0.5858. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5858; 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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