HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
HCA HOUSTON HEALTHCARE SOUTHEAST
TX · Facility ID 450097 · FY2026
Total HAC Score
-0.7220
Percentile
12.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.7220. 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 -0.793
- CLABSIz -0.263
- CAUTIz -1.051
- SSIz -0.869
- CDIz -1.327
- MRSAz -0.030
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.7929 | -0.8371 | -0.1713 | 0.6657 |
| CAUTI | -1.0510 | -0.7666 | -0.1491 | 0.6175 |
| MRSA | -0.0299 | -0.9599 | -0.3462 | 0.6137 |
| CDI | -1.3266 | -0.7446 | -0.1354 | 0.6092 |
| CLABSI | -0.2628 | -0.9126 | -0.3048 | 0.6078 |
| SSI | -0.8689 | -0.8199 | -0.2152 | 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): 19.8th
Hospital score -0.7220. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 6.2th
Hospital score -0.7220. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.7220; 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.