HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
TEXOMA MEDICAL CENTER
TX · Facility ID 450324 · FY2026
Total HAC Score
-0.2964
Percentile
32.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2964. 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 -0.332
- CLABSIz -0.569
- CAUTIz 0.195
- SSIz 0.272
- CDIz -0.746
- MRSAz -0.598
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.3321 | -0.4882 | 0.1775 | 0.6658 |
| CAUTI | 0.1952 | -0.5486 | 0.0688 | 0.6175 |
| MRSA | -0.5983 | -0.4395 | 0.1742 | 0.6137 |
| CDI | -0.7458 | -0.4158 | 0.1935 | 0.6092 |
| CLABSI | -0.5690 | -0.4359 | 0.1719 | 0.6078 |
| SSI | 0.2719 | -0.5844 | 0.0203 | 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): 44.1th
Hospital score -0.2964. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 28.3th
Hospital score -0.2964. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2964; 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.