HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
HOUSTON METHODIST HOSPITAL
TX · Facility ID 450358 · FY2026
Total HAC Score
-0.4032
Percentile
26.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4032. 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 -1.303
- CLABSIz -0.337
- CAUTIz -0.294
- SSIz -0.093
- CDIz 0.152
- MRSAz -0.544
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.3034 | -0.4332 | 0.2326 | 0.6658 |
| CAUTI | -0.2941 | -0.5739 | 0.0436 | 0.6175 |
| MRSA | -0.5440 | -0.5554 | 0.0584 | 0.6137 |
| CDI | 0.1525 | -0.6723 | -0.0631 | 0.6092 |
| CLABSI | -0.3371 | -0.5814 | 0.0264 | 0.6078 |
| SSI | -0.0929 | -0.6304 | -0.0257 | 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): 38.6th
Hospital score -0.4032. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 20.7th
Hospital score -0.4032. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4032; 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.