HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MEDICAL CENTER OF MCKINNEY
TX · Facility ID 450403 · FY2026
Total HAC Score
-0.4071
Percentile
25.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4071. 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 -0.969
- CLABSIz 0.268
- CAUTIz -0.210
- SSIz -0.956
- CDIz -1.179
- MRSAz 0.603
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.9690 | -0.4929 | 0.1729 | 0.6657 |
| CAUTI | -0.2098 | -0.5919 | 0.0256 | 0.6175 |
| MRSA | 0.6034 | -0.7506 | -0.1368 | 0.6137 |
| CDI | -1.1795 | -0.4542 | 0.1550 | 0.6092 |
| CLABSI | 0.2684 | -0.6863 | -0.0785 | 0.6078 |
| SSI | -0.9563 | -0.4905 | 0.1142 | 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): 37.8th
Hospital score -0.4071. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 20.4th
Hospital score -0.4071. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4071; 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.