HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
CHRISTUS GOOD SHEPHERD MEDICAL CENTER
TX · Facility ID 450032 · FY2026
Total HAC Score
-0.5663
Percentile
16.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5663. 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 -1.141
- CLABSIz 0.011
- CAUTIz -0.870
- SSIz -0.713
- CDIz -0.916
- MRSAz 0.231
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.1407 | -0.6234 | 0.0423 | 0.6658 |
| CAUTI | -0.8703 | -0.6410 | -0.0236 | 0.6175 |
| MRSA | 0.2314 | -0.8478 | -0.2340 | 0.6137 |
| CDI | -0.9162 | -0.6573 | -0.0481 | 0.6092 |
| CLABSI | 0.0109 | -0.8026 | -0.1948 | 0.6078 |
| SSI | -0.7130 | -0.6902 | -0.0855 | 0.6047 |
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): 26.9th
Hospital score -0.5663. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 10.8th
Hospital score -0.5663. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5663; 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.