HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
THE MEDICAL CENTER OF SOUTHEAST TEXAS
TX · Facility ID 450518 · FY2026
Total HAC Score
-0.4714
Percentile
21.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4714. 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 0.604
- CLABSIz -0.219
- CAUTIz -1.319
- SSIz -1.456
- CDIz -0.146
- MRSAz -0.293
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.6042 | -0.8194 | -0.1536 | 0.6657 |
| CAUTI | -1.3186 | -0.4714 | 0.1461 | 0.6175 |
| MRSA | -0.2932 | -0.6654 | -0.0517 | 0.6137 |
| CDI | -0.1457 | -0.6908 | -0.0816 | 0.6092 |
| CLABSI | -0.2187 | -0.6694 | -0.0616 | 0.6078 |
| SSI | -1.4565 | -0.4714 | 0.1333 | 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): 32.7th
Hospital score -0.4714. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 16.5th
Hospital score -0.4714. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4714; 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.