HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MEMORIAL HERMANN HOSPITAL SYSTEM
TX · Facility ID 450184 · FY2026
Total HAC Score
-0.1564
Percentile
42.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1564. 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 0.271
- CLABSIz 0.166
- CAUTIz -0.557
- SSIz -0.028
- CDIz -0.661
- MRSAz -0.130
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.2707 | -0.4488 | 0.2170 | 0.6657 |
| CAUTI | -0.5569 | -0.2834 | 0.3341 | 0.6175 |
| MRSA | -0.1302 | -0.3776 | 0.2361 | 0.6137 |
| CDI | -0.6606 | -0.2900 | 0.3192 | 0.6092 |
| CLABSI | 0.1663 | -0.4186 | 0.1892 | 0.6078 |
| SSI | -0.0278 | -0.3945 | 0.2102 | 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): 56.7th
Hospital score -0.1564. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 39.1th
Hospital score -0.1564. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1564; 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.