Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ST LUKE'S HOSPITAL AT THE VINTAGE

TX · Facility ID 670075 · FY2026

Total HAC Score

-0.5957

Percentile

15.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5957

Hospital score -0.5957. 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 -0.644
  • CLABSIz -0.061
  • CAUTIz -1.319
  • SSIz -0.047
  • CDIz -1.257
  • MRSAz -0.247

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-0.6437-0.7356-0.06990.6658
CAUTI-1.3186-0.59570.02180.6175
MRSA-0.2472-0.7974-0.18360.6137
CDI-1.2569-0.6299-0.02070.6092
CLABSI-0.0610-0.8199-0.21210.6078
SSI-0.0467-0.8306-0.22590.6047

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): 25.3th

Score distributionThreshold 0.3792Hospital -0.5957

Hospital score -0.5957. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 9.8th

Score distributionThreshold 0.3792Hospital -0.5957

Hospital score -0.5957. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5957; 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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