Top 50 Hospitals by HAC Scores

In an effort to reduce the number of preventable illnesses and readmissions post-acute care, the Center for Medicare and Medicaid Services (CMS) launched the HAC Reduction Program as a means to incentivize hospitals to take stronger precautionary measures.

Development of HACs leads to increased healthcare spending, a higher risk of patient deaths and readmissions, longer length of stay, and other complications. CMS tracks 14 HACs across several categories, including surgical site infections, blood stream infections, and pressure ulcers. However, the HAC Reduction Program only takes 6 of these into account: Clostridium Difficile (C.Diff), Catheter-Associated Urinary Tract Infections (CAUTI), Central-Line-Associated Blood Stream Infections (CLABSI), Methicillin-resistant Staphylococcus aureus (MRSA), and Surgical Site Infections for colon surgeries and hysterectomies.

Starting in FY2018 The Winsorsized z-score methodology was implemented. to calculate HAC Total Score. With the Winsorization, 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. After this adjustment, the Winsorsized measure result is equal to the raw measure result. The scores displayed are determined by taking a hospital’s Winsorsized measure result subtracting the mean of Winsorsized measure results and dividing that result by the standard deviation of Winsorsized measure results.

With this calculation, a negative domain score indicates a better performance since it reflects measure values below (or better than) the national mean. Of the hospitals receiving the lowest scores for HAC Reduction Program, 6 of the top 50 are located in Texas — more than any other single state. Alabama had 5 on the list and Arkansas, Oklahoma, Pennsylvania, and Utah all had 3 hospitals on the list.

Coversely, for FY2019 more than 773 hospitals were fined for reporting excess cases of hospital-acquired conditions (HACs), losing a total of $258.4 million in revenue.

Top 50 Hospitals by HAC Score

	Hospital Name	State	Definitive ID	HAC Total Score	Est. Revenue Loss Due to HAC Penalty	Net Patient Revenue
1.	Mayhill Hospital	TX	4855	-1.92	$0	$12,719,100
2.	St. Vincent’s Chilton	AL	868588	-1.92	$0	$16,356,812
3.	Indiana Orthopaedic Hospital	IN	1357	-1.87	$0	$165,674,223
4.	Kansas Surgery & Recovery Center	KS	1617	-1.87	$0	$41,864,366
5.	New England Baptist Hospital	MA	1971	-1.87	$0	$225,021,802
6.	OrthoNebraska Hospital	NE	2524	-1.87	$0	$80,351,192
7.	Orthopaedic and Spine Specialists Orthopaedic Hospital	PA	553368	-1.87	$0	$119,810,526
8.	Premier Surgical Institute	KS	776981	-1.87	$0	$28,855,180
9.	The Orthopedic Specialty Hospital	UT	4220	-1.87	$0	$96,828,964
10.	Jack Hughston Memorial Hospital	AL	106	-1.83	$0	$63,417,969
11.	Orthopaedic Hospital of Wisconsin	WI	4530	-1.82	$0	$72,890,848
12.	Midwest Orthopedic Specialty Hospital	WI	4532	-1.8	$0	$74,938,082
13.	Baylor Scott & White Orthopedic and Spine Hospital - Arlington	TX	552496	-1.77	$0	$108,929,468
14.	CHI St Lukes Health - Lakeside Hospital	TX	4095	-1.72	$0	$36,226,456
15.	Wiregrass Medical Center	AL	59	-1.72	$0	$19,891,706
16.	Smyth County Community Hospital	VA	4299	-1.71	$0	$47,384,792
17.	Wagoner Community Hospital	OK	3371	-1.71	$0	$24,137,244
18.	Straith Hospital for Special Surgery	MI	2060	-1.7	$0	$13,352,208
19.	Stilwell Memorial Hospital	OK	3251	-1.69	$0	$17,814,376
20.	AllianceHealth Clinton	OK	3280	-1.68	$0	$20,777,516
21.	Connally Memorial Medical Center	TX	4195	-1.68	$0	$32,754,267
22.	Jersey Community Hospital	IL	1193	-1.68	$0	$43,139,117
23.	Lakes Regional Healthcare	IA	1439	-1.68	$0	$39,645,044
24.	Regina Hospital	MN	2140	-1.68	$0	$59,599,356
25.	Samaritan Hospital - St Marys Campus	NY	2884	-1.68	$0	$77,082,939
26.	Crystal Clinic Orthopaedic Center	OH	3236	-1.67	$0	$160,470,401
27.	Healthmark Regional Medical Center	FL	932	-1.67	$0	$10,945,509
28.	Sevier Valley Hospital	UT	4230	-1.67	$0	$47,673,740
29.	Uintah Basin Medical Center	UT	4209	-1.67	$0	$78,139,611
30.	Atmore Community Hospital	AL	53	-1.66	$0	$17,062,699
31.	Banner Fort Collins Medical Center	CO	585468	-1.66	$0	$39,656,179
32.	Evergreen Medical Center	AL	41	-1.66	$0	$16,091,899
33.	Mena Regional Health System	AR	266	-1.66	$0	$26,778,469
34.	Northern Maine Medical Center	ME	1842	-1.66	$0	$50,125,396
35.	Northridge Medical Center	GA	1017	-1.66	$0	$20,139,218
36.	Oakdale Community Hospital	LA	1729	-1.66	$0	$12,551,998
37.	UPMC Susquehanna Sunbury	PA	3558	-1.66	$0	$16,005,016
38.	Ascension Seton Southwest	TX	4162	-1.65	$0	$26,258,327
39.	Baptist Health - Van Buren	AR	237	-1.65	$0	$19,125,843
40.	Cape Fear Valley - Hoke Hospital	NC	764460	-1.65	$0	$36,378,123
41.	Fleming County Hospital	KY	1661	-1.65	$0	$14,361,029
42.	Hill Regional Hospital	TX	4040	-1.65	$0	$21,223,714
43.	St James Hospital	NY	2902	-1.65	$0	$25,143,925
44.	Touchette Regional Hospital	IL	1256	-1.65	$0	$55,388,180
45.	UPMC Kane	PA	3538	-1.65	$0	$9,652,111
46.	AdventHealth Murray	GA	1034	-1.64	$0	$21,187,674
47.	Adventist Health Reedley	CA	324	-1.64	$0	$191,421,990
48.	Alliance Hospital	MS	2296	-1.64	$0	$9,009,301
49.	Astria Toppenish Hospital	WA	4417	-1.64	$0	$19,715,848
50.	Baptist Health Medical Center - Hot Spring County	AR	252	-1.64	$0	$23,774,707

Fig 1. Data is from the Centers for Medicare and Medicaid Services (CMS) Quality Metrics Update (October 2019). Next set of data is set to be updated in January 2020.

Top 50 Hospitals by HAC Scores

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Top 50 Hospitals by HAC Score