HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
HCA HOUSTON HEALTHCARE NORTHWEST
TX · Facility ID 450638 · FY2026
Total HAC Score
-0.2277
Percentile
36.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2277. 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 1.099
- CLABSIz -0.261
- CAUTIz -0.169
- SSIz 0.022
- CDIz -1.338
- MRSAz -0.720
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 1.0991 | -0.6581 | 0.0076 | 0.6657 |
| CAUTI | -0.1688 | -0.4193 | 0.1981 | 0.6175 |
| MRSA | -0.7195 | -0.3507 | 0.2631 | 0.6137 |
| CDI | -1.3383 | -0.2483 | 0.3609 | 0.6092 |
| CLABSI | -0.2605 | -0.4187 | 0.1891 | 0.6078 |
| SSI | 0.0218 | -0.4741 | 0.1306 | 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): 52.0th
Hospital score -0.2277. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 33.2th
Hospital score -0.2277. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2277; 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.