HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
UNIVERSITY HEALTH SYSTEM
TX · Facility ID 450213 · FY2026
Total HAC Score
-0.2147
Percentile
37.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2147. 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 -0.126
- CLABSIz -0.017
- CAUTIz -0.376
- SSIz -0.232
- CDIz -0.033
- MRSAz -0.504
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.1261 | -0.4410 | 0.2248 | 0.6658 |
| CAUTI | -0.3761 | -0.3718 | 0.2457 | 0.6175 |
| MRSA | -0.5043 | -0.3736 | 0.2401 | 0.6137 |
| CDI | -0.0334 | -0.4529 | 0.1563 | 0.6092 |
| CLABSI | -0.0169 | -0.4464 | 0.1614 | 0.6078 |
| SSI | -0.2317 | -0.4189 | 0.1858 | 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): 52.4th
Hospital score -0.2147. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 34.4th
Hospital score -0.2147. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2147; 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.