HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
VA · Facility ID 490069 · FY2026
Total HAC Score
-0.0916
Percentile
46.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0916. 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 -0.747
- CLABSIz -0.469
- CAUTIz 0.149
- SSIz 1.934
- CDIz -1.207
- MRSAz -0.210
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.7473 | -0.2143 | 0.4514 | 0.6657 |
| CAUTI | 0.1494 | -0.3363 | 0.2812 | 0.6175 |
| MRSA | -0.2096 | -0.2996 | 0.3141 | 0.6137 |
| CDI | -1.2066 | -0.1342 | 0.4750 | 0.6092 |
| CLABSI | -0.4693 | -0.2478 | 0.3600 | 0.6078 |
| SSI | 1.9336 | -0.6566 | -0.0519 | 0.6047 |
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 VA (70 scored): 65.0th
Hospital score -0.0916. Penalty threshold 0.3792. Distribution of 70 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 43.9th
Hospital score -0.0916. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0916; 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.