HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
CHRISTUS SOUTHEAST TEXAS- ST ELIZABETH
TX · Facility ID 450034 · FY2026
Total HAC Score
-0.3060
Percentile
31.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3060. 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 -0.862
- CLABSIz -0.098
- CAUTIz -0.596
- SSIz -0.081
- CDIz -0.370
- MRSAz 0.171
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.8621 | -0.4095 | 0.2562 | 0.6657 |
| CAUTI | -0.5955 | -0.4265 | 0.1910 | 0.6175 |
| MRSA | 0.1708 | -0.5773 | 0.0364 | 0.6137 |
| CDI | -0.3702 | -0.4880 | 0.1212 | 0.6092 |
| CLABSI | -0.0981 | -0.5241 | 0.0837 | 0.6078 |
| SSI | -0.0809 | -0.5353 | 0.0694 | 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): 43.3th
Hospital score -0.3060. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 27.4th
Hospital score -0.3060. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3060; 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.