Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

NORTHWEST TEXAS HOSPITAL

TX · Facility ID 450209 · FY2026

Total HAC Score

-0.0930

Percentile

46.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0930

Hospital score -0.0930. 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 -1.017
  • CLABSIz 0.018
  • CAUTIz 0.063
  • SSIz 0.818
  • CDIz -0.579
  • MRSAz 0.139

Fragility

Each reported measure moves the score by 0.1667 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate-1.0167-0.17070.49500.6657
CAUTI0.0626-0.32310.29430.6175
MRSA0.1394-0.35910.25470.6137
CDI-0.5793-0.24010.36910.6092
CLABSI0.0179-0.33030.27740.6078
SSI0.8184-0.47210.13260.6047

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): 62.9th

Score distributionThreshold 0.3792Hospital -0.0930

Hospital score -0.0930. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 43.8th

Score distributionThreshold 0.3792Hospital -0.0930

Hospital score -0.0930. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0930; 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.

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