Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

THE HOSPITALS OF PROVIDENCE - EAST CAMPUS

TX · Facility ID 670047 · FY2026

Total HAC Score

-0.1286

Percentile

44.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1286

Hospital score -0.1286. 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 -0.542
  • CLABSIz 0.403
  • CAUTIz 0.012
  • SSIz -1.456
  • CDIz 0.896
  • MRSAz -0.084

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-0.5417-0.28550.38020.6657
CAUTI0.0120-0.35030.26710.6175
MRSA-0.0842-0.35740.25630.6137
CDI0.8959-0.52160.08760.6092
CLABSI0.4030-0.43020.17760.6078
SSI-1.4565-0.12860.47610.6047

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): 60.6th

Score distributionThreshold 0.3792Hospital -0.1286

Hospital score -0.1286. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 41.4th

Score distributionThreshold 0.3792Hospital -0.1286

Hospital score -0.1286. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1286; 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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