Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

BSA HOSPITAL

TX · Facility ID 450231 · FY2026

Total HAC Score

-0.2368

Percentile

36.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2368

Hospital score -0.2368. 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 1.385
  • CLABSIz -0.657
  • CAUTIz 0.089
  • SSIz -1.167
  • CDIz -0.169
  • MRSAz -0.901

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 fate1.3845-0.7148-0.04900.6658
CAUTI0.0891-0.47140.14610.6175
MRSA-0.9013-0.32950.28430.6137
CDI-0.1689-0.45240.15690.6092
CLABSI-0.6572-0.36170.24610.6078
SSI-1.1670-0.28500.31960.6047

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): 50.0th

Score distributionThreshold 0.3792Hospital -0.2368

Hospital score -0.2368. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 32.4th

Score distributionThreshold 0.3792Hospital -0.2368

Hospital score -0.2368. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2368; 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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