Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

KNAPP MEDICAL CENTER

TX · Facility ID 450128 · FY2026

Total HAC Score

-0.1451

Percentile

43.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1451

Hospital score -0.1451. 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 -0.840
  • CLABSIz 1.447
  • CAUTIz 0.325
  • SSIz -0.944
  • CDIz -0.095
  • MRSAz -0.763

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-0.8398-0.25240.41340.6658
CAUTI0.3254-0.41910.19840.6175
MRSA-0.7634-0.26070.35300.6137
CDI-0.0953-0.37290.23630.6092
CLABSI1.4469-0.6207-0.01290.6078
SSI-0.9443-0.23040.37430.6047

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): 58.2th

Score distributionThreshold 0.3792Hospital -0.1451

Hospital score -0.1451. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 40.1th

Score distributionThreshold 0.3792Hospital -0.1451

Hospital score -0.1451. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1451; 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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