HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
PARIS REGIONAL MEDICAL CENTER
TX · Facility ID 450196 · FY2026
Total HAC Score
-0.1944
Percentile
39.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1944. 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 -1.441
- CLABSIz -0.170
- CAUTIz -0.776
- SSIz 0.109
- CDIz -1.114
- MRSAz 2.225
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.4409 | -0.2015 | 0.4642 | 0.6657 |
| CAUTI | -0.7762 | -0.2848 | 0.3327 | 0.6175 |
| MRSA | 2.2251 | -0.8082 | -0.1944 | 0.6137 |
| CDI | -1.1137 | -0.2525 | 0.3567 | 0.6092 |
| CLABSI | -0.1700 | -0.4005 | 0.2073 | 0.6078 |
| SSI | 0.1092 | -0.4554 | 0.1493 | 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): 53.9th
Hospital score -0.1944. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 35.8th
Hospital score -0.1944. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1944; 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.