HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ASCENSION SETON MEDICAL CENTER AUSTIN
TX · Facility ID 450056 · FY2026
Total HAC Score
-0.5209
Percentile
19.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5209. 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 -1.080
- CLABSIz -0.056
- CAUTIz -0.130
- SSIz 0.171
- CDIz -1.063
- MRSAz -0.966
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0803 | -0.5881 | 0.0777 | 0.6657 |
| CAUTI | -0.1302 | -0.7190 | -0.1015 | 0.6175 |
| MRSA | -0.9661 | -0.6028 | 0.0110 | 0.6137 |
| CDI | -1.0633 | -0.5874 | 0.0218 | 0.6092 |
| CLABSI | -0.0564 | -0.7459 | -0.1381 | 0.6078 |
| SSI | 0.1709 | -0.7921 | -0.1874 | 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): 30.8th
Hospital score -0.5209. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 13.4th
Hospital score -0.5209. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5209; 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.