HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
CHRISTUS MOTHER FRANCES HOSPITAL
TX · Facility ID 450102 · FY2026
Total HAC Score
-0.2100
Percentile
38.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2100. 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 -1.061
- CLABSIz 1.347
- CAUTIz -0.321
- SSIz -0.502
- CDIz -0.413
- MRSAz -0.310
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0612 | -0.2803 | 0.3854 | 0.6658 |
| CAUTI | -0.3207 | -0.3763 | 0.2412 | 0.6175 |
| MRSA | -0.3099 | -0.4012 | 0.2125 | 0.6137 |
| CDI | -0.4128 | -0.3849 | 0.2243 | 0.6092 |
| CLABSI | 1.3471 | -0.6689 | -0.0611 | 0.6078 |
| SSI | -0.5023 | -0.3690 | 0.2357 | 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): 53.5th
Hospital score -0.2100. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 34.7th
Hospital score -0.2100. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2100; 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.