Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

BAPTIST BEAUMONT HOSPITAL

TX · Facility ID 450346 · FY2026

Total HAC Score

-0.0406

Percentile

50.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0406

Hospital score -0.0406. 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 0.004
  • CLABSIz 0.445
  • CAUTIz -0.535
  • SSIz -0.670
  • CDIz -0.235
  • MRSAz 0.748

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 fate0.0042-0.28850.37720.6657
CAUTI-0.5352-0.17120.44630.6175
MRSA0.7476-0.40810.20560.6137
CDI-0.2347-0.24520.36400.6092
CLABSI0.4447-0.34910.25870.6078
SSI-0.6702-0.17160.43300.6047

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): 66.9th

Score distributionThreshold 0.3792Hospital -0.0406

Hospital score -0.0406. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 48.1th

Score distributionThreshold 0.3792Hospital -0.0406

Hospital score -0.0406. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0406; 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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