Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MCKAY-DEE HOSPITAL

UT · Facility ID 460004 · FY2026

Total HAC Score

-0.6844

Percentile

13.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.6844

Hospital score -0.6844. 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 -1.346
  • CLABSIz 0.027
  • CAUTIz -1.319
  • SSIz -0.136
  • CDIz -0.626
  • MRSAz -0.707

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-1.3464-0.7072-0.04150.6657
CAUTI-1.3186-0.6844-0.06690.6175
MRSA-0.7070-0.8095-0.19570.6137
CDI-0.6258-0.8238-0.21460.6092
CLABSI0.0271-0.9233-0.31550.6078
SSI-0.1357-0.9045-0.29980.6047

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 UT (31 scored): 33.9th

Score distributionThreshold 0.3792Hospital -0.6844

Hospital score -0.6844. Penalty threshold 0.3792. Distribution of 31 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 7.3th

Score distributionThreshold 0.3792Hospital -0.6844

Hospital score -0.6844. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.6844; 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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