HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
HCA HOUSTON HEALTHCARE TOMBALL
TX · Facility ID 450670 · FY2026
Total HAC Score
-0.8703
Percentile
6.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.8703. 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 -1.483
- CLABSIz -0.662
- CAUTIz -1.319
- SSIz -1.188
- CDIz -1.199
- MRSAz 0.628
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.4834 | -0.8703 | -0.2046 | 0.6657 |
| CAUTI | -1.3186 | -0.8703 | -0.2528 | 0.6175 |
| MRSA | 0.6284 | -1.2179 | -0.6042 | 0.6137 |
| CDI | -1.1989 | -0.9142 | -0.3050 | 0.6092 |
| CLABSI | -0.6618 | -0.9944 | -0.3866 | 0.6078 |
| SSI | -1.1875 | -0.9151 | -0.3104 | 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): 10.8th
Hospital score -0.8703. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 2.9th
Hospital score -0.8703. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.8703; 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.