Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL

TX · Facility ID 450885 · FY2026

Total HAC Score

-0.1413

Percentile

43.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1413

Hospital score -0.1413. 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 -0.864
  • CLABSIz -1.407
  • CAUTIz 1.714
  • SSIz 0.611
  • CDIz 0.555
  • MRSAz -1.457

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-0.8642-0.24450.42120.6658
CAUTI1.7138-0.6467-0.02920.6175
MRSA-1.4573-0.14130.47240.6137
CDI0.5552-0.47760.13170.6092
CLABSI-1.4065-0.14130.46650.6078
SSI0.6111-0.48590.11880.6047

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): 59.0th

Score distributionThreshold 0.3792Hospital -0.1413

Hospital score -0.1413. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 40.5th

Score distributionThreshold 0.3792Hospital -0.1413

Hospital score -0.1413. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1413; 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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