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 - ROUND ROCK

TX · Facility ID 670034 · FY2026

Total HAC Score

-0.0563

Percentile

49.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0563

Hospital score -0.0563. 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 -0.238
  • CLABSIz -0.437
  • CAUTIz 0.241
  • SSIz 1.250
  • CDIz 0.303
  • 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-0.2383-0.26380.40190.6658
CAUTI0.2410-0.31620.30120.6175
MRSA-1.4573-0.05630.55740.6137
CDI0.3035-0.35060.25860.6092
CLABSI-0.4368-0.21790.38990.6078
SSI1.2501-0.50740.09730.6047

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): 65.3th

Score distributionThreshold 0.3792Hospital -0.0563

Hospital score -0.0563. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 47.0th

Score distributionThreshold 0.3792Hospital -0.0563

Hospital score -0.0563. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0563; 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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