Top 50 hospitals by HAC scores
The Center for Medicare and Medicaid Services (CMS) launched the Hospital-Acquired Condition (HAC) Reduction Program to incentivize hospitals to take stronger precautionary measures to reduce the number of preventable illnesses and readmissions post-acute care.
HACs can lead to increased healthcare spending, a higher risk of patient deaths and readmissions, and longer lengths of stay.
CMS tracks 14 HACs across several categories, including surgical site infections (SSIs), bloodstream infections (BSIs), and pressure ulcers. However, the HAC Reduction Program takes only six of these into account:
- Clostridium difficile (C. Diff)
- Catheter-associated urinary tract infections (CAUTI)
- Central-line-associated bloodstream infections (CLABSI)
- Methicillin-resistant staphylococcus aureus (MRSA)
- Surgical site infections for colon surgeries and hysterectomies
Scores reflect hospital performance on HACs compared to the national mean. A negative domain score indicates a better performance since it reflects values below (or better than) the national mean.
This Healthcare Insight reviews hospital HAC Reduction Program scores tracked in the Definitive Healthcare HospitalView product. Results are based on 2021 data from the October 2022 update.
Top U.S. hospitals by HAC Reduction Program score
|Definitive ID||Hospital name||Location||HAC 2021 total score||Explore dataset|
|4855||Mayhill Hospital||Denton, TX||-1.95||Explore|
|1357||Indiana Orthopaedic Hospital (AKA OrthoIndy Hospital Main)||Indianapolis, IN||-1.73||Explore|
|1614||Kansas Spine & Specialty Hospital||Wichita, KS||-1.73||Explore|
|776981||Mercy Specialty Hospital - Southeast Kansas (AKA Premier Surgical Institute)||Galena, KS||-1.73||Explore|
|3136||Mount Carmel New Albany||New Albany, OH||-1.73||Explore|
|3321||Oklahoma Spine Hospital||Oklahoma City, OK||-1.73||Explore|
|4005||Texas Orthopedic Hospital||Houston, TX||-1.73||Explore|
|3236||Crystal Clinic Orthopaedic Center Hospital||Fairlawn, OH||-1.71||Explore|
|7166||OASIS Hospital (AKA Orthopedic and Spine Inpatient Surgical Hospital)||Phoenix, AZ||-1.69||Explore|
|3323||McBride Clinic Orthopedic Hospital LLC||Oklahoma City, OK||-1.67||Explore|
|3709||Black Hills Surgical Hospital||Rapid City, SD||-1.64||Explore|
|1756||The Spine Hospital of Louisiana at the NeuroMedical Center (FKA the Neuromedical Center Surgical Hospital)||Baton Rouge, LA||-1.61||Explore|
|4113||Quail Creek Surgical Hospital||Amarillo, TX||-1.6||Explore|
|3276||Bristow Medical Center (Closed)||Bristow, OK||-1.58||Explore|
|1617||Kansas Surgery & Recovery Center||Wichita, KS||-1.57||Explore|
|181||CORE Institute Specialty Hospital (FKA the Surgical Hospital of Phoenix)||Phoenix, AZ||-1.56||Explore|
|1738||Specialists Hospital Shreveport||Shreveport, LA||-1.55||Explore|
|202||Oro Valley Hospital||Oro Valley, AZ||-1.54||Explore|
|4220||The Orthopedic Specialty Hospital (AKA TOSH)||Murray, UT||-1.51||Explore|
|1076||Pali Momi Medical Center||Aiea, HI||-1.5||Explore|
|3744||Saint Thomas Hospital for Specialty Surgery (FKA the Hospital for Spinal Surgery)||Nashville, TN||-1.5||Explore|
|542017||Methodist Olive Branch Hospital||Olive Branch, MS||-1.47||Explore|
|4141||Baylor Scott & White Surgical Hospital - Fort Worth||Fort Worth, TX||-1.46||Explore|
|3916||Baylor Scott & White Heart and Vascular Hospital - Dallas (FKA Baylor Jack and Jane Hamilton Heart and Vascular)||Dallas, TX||-1.43||Explore|
|386||Glendora Hospital (FKA Glendora Oaks Behavioral Health Hospital)||Glendora, CA||-1.43||Explore|
|3639||Prisma Health Patewood Hospital (FKA Patewood Hospital)||Greenville, SC||-1.43||Explore|
|274||Arkansas Surgical Hospital||North Little Rock, AR||-1.4||Explore|
|4440||Stonewall Jackson Memorial Hospital||Weston, WV||-1.36||Explore|
|552496||Baylor Scott & White Orthopedic and Spine Hospital - Arlington||Arlington, TX||-1.34||Explore|
|553365||CHRISTUS Central Louisiana Surgical Hospital (FKA Central Louisiana Surgical Hospital)||Alexandria, LA||-1.34||Explore|
|3413||Legacy Silverton Medical Center (AKA Silverton Hospital)||Silverton, OR||-1.34||Explore|
|4077||Grace Medical Center (AKA Grace Health System - Closed)||Lubbock, TX||-1.33||Explore|
|110||Coosa Valley Medical Center||Sylacauga, AL||-1.32||Explore|
|329||Fresno Surgical Hospital||Fresno, CA||-1.32||Explore|
|2696||Salem Medical Center (FKA the Memorial Hospital of Salem County)||Salem, NJ||-1.32||Explore|
|3926||Baylor Scott & White Medical Center - Uptown||Dallas, TX||-1.31||Explore|
|4044||CHRISTUS Mother Frances Hospital - Sulphur Springs (FKA Hopkins County Memorial Hospital)||Sulphur Springs, TX||-1.31||Explore|
|3726||LaFollette Medical Center (FKA St Marys Medical Center of Campbell County)||La Follette, TN||-1.31||Explore|
|2524||OrthoNebraska Hospital (FKA Nebraska Orthopaedic Hospital)||Omaha, NE||-1.31||Explore|
|2942||ECU Health Beaufort Hospital (FKA Vidant Beaufort Hospital)||Washington, NC||-1.28||Explore|
|704||UCHealth Yampa Valley Medical Center||Steamboat Springs, CO||-1.27||Explore|
|1440||UnityPoint Health Dubuque - Finley Hospital||Dubuque, IA||-1.27||Explore|
|3835||Volunteer Hospital (FKA Tennova Healthcare - Volunteer Martin)||Martin, TN||-1.27||Explore|
|1641||Kentucky River Medical Center||Jackson, KY||-1.26||Explore|
|575766||Lone Peak Hospital||Draper, UT||-1.26||Explore|
|182||Abrazo West Campus (FKA West Valley Hospital)||Goodyear, AZ||-1.25||Explore|
|265||Helena Regional Medical Center||Helena, AR||-1.25||Explore|
|1042||Piedmont Mountainside Hospital||Jasper, GA||-1.25||Explore|
|3704||Sioux Falls Specialty Hospital||Sioux Falls, SD||-1.25||Explore|
|103||Troy Regional Medical Center||Troy, AL||-1.25||Explore|
Which hospital has the best HAC score?
Mayhill Hospital in Denton, Texas has the lowest HAC Reduction Program score at -1.95. The next six hospitals each have a score of -1.73
Nine of the top 50 hospitals on the list are located in Texas, which is also the state with the highest number of total hospitals. Nearly two-thirds of the hospitals on the list (32) are in the southeast or the southwest U.S.
How are HAC scores calculated?
Since 2018, CMS used the winsorized z-score methodology to calculate HAC total score. With this process, the raw measure result of hospitals that fall below the 5th percentile and above the 95th percentile are set to the 5th and 95th percentile, respectively. This is done to reduce the impact of outliers in score calculations.
The scores displayed are determined by taking a hospital’s winsorized measure result, subtracting the mean of winsorized measure results, and then dividing that result by the standard deviation of winsorized measure results.
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