HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MISSION REGIONAL MEDICAL CENTER
TX · Facility ID 450176 · FY2026
Total HAC Score
-0.0792
Percentile
47.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0792. 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 -0.227
- CLABSIz 0.101
- CAUTIz -0.080
- SSIz 0.832
- CDIz -0.324
- MRSAz -0.778
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.2272 | -0.2886 | 0.3772 | 0.6658 |
| CAUTI | -0.0796 | -0.2857 | 0.3318 | 0.6175 |
| MRSA | -0.7780 | -0.1924 | 0.4213 | 0.6137 |
| CDI | -0.3238 | -0.2689 | 0.3403 | 0.6092 |
| CLABSI | 0.1014 | -0.3305 | 0.2773 | 0.6078 |
| SSI | 0.8321 | -0.4606 | 0.1441 | 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): 64.1th
Hospital score -0.0792. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 45.1th
Hospital score -0.0792. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0792; 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.