Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

WILSON N JONES REGIONAL MEDICAL CENTER

TX · Facility ID 450469 · FY2026

Total HAC Score

-0.2471

Percentile

35.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2471

Hospital score -0.2471. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 3 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z 0.487
  • CLABSIN/A
  • CAUTIz -1.319
  • SSIN/A
  • CDIz 0.090
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.3333 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 fate0.4869-0.90380.42771.3315
CAUTI-1.3186-0.24710.98791.2350
CDI0.0905-0.76460.45381.2184

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): 49.2th

Score distributionThreshold 0.3792Hospital -0.2471

Hospital score -0.2471. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 3 reported measures (196 scored): 44.6th

Score distributionThreshold 0.3792Hospital -0.2471

Hospital score -0.2471. Penalty threshold 0.3792. Distribution of 196 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2471; threshold 0.3792).

Reported on 3 of 6 measures; each reported measure moves the equal-weighted score by 0.3333 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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