Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

← All audits

Hospital audit

UT HEALTH EAST TEXAS HENDERSON HOSPITAL

TX · Facility ID 450475 · FY2026

Total HAC Score

-0.4306

Percentile

24.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4306

Hospital score -0.4306. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 3 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.030
  • CLABSIN/A
  • CAUTIN/A
  • SSIz 0.200
  • CDIz -1.462
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.3333 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate-0.0296-0.91520.41631.3315
CDI-1.4622-0.43060.78781.2184
SSI0.2000-0.98280.22661.2094

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): 37.5th

Score distributionThreshold 0.3792Hospital -0.4306

Hospital score -0.4306. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 3 reported measures (196 scored): 32.9th

Score distributionThreshold 0.3792Hospital -0.4306

Hospital score -0.4306. Penalty threshold 0.3792. Distribution of 196 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4306; threshold 0.3792).

Reported on 3 of 6 measures; each reported measure moves the equal-weighted score by 0.3333 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.

Scan a hospital system →