HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
NORTHWEST TEXAS HOSPITAL
TX · Facility ID 450209 · FY2026
Total HAC Score
-0.0930
Percentile
46.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
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.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0167 | -0.1707 | 0.4950 | 0.6657 |
| CAUTI | 0.0626 | -0.3231 | 0.2943 | 0.6175 |
| MRSA | 0.1394 | -0.3591 | 0.2547 | 0.6137 |
| CDI | -0.5793 | -0.2401 | 0.3691 | 0.6092 |
| CLABSI | 0.0179 | -0.3303 | 0.2774 | 0.6078 |
| SSI | 0.8184 | -0.4721 | 0.1326 | 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): 62.9th
Hospital score -0.0930. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 43.8th
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.