Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

WOMANS HOSPITAL OF TEXAS,THE

TX · Facility ID 450674 · FY2026

Total HAC Score

-0.4527

Percentile

23.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4527

Hospital score -0.4527. 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 -0.214
  • CLABSIz 0.101
  • CAUTIz -1.319
  • SSIz -0.411
  • CDIz -1.462
  • MRSAz 0.589

Fragility

Each reported measure moves the score by 0.1667 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-0.2142-0.66430.00150.6657
CAUTI-1.3186-0.45270.16470.6175
MRSA0.5887-0.7937-0.18000.6137
CDI-1.4622-0.45270.15650.6092
CLABSI0.1014-0.7041-0.09630.6078
SSI-0.4115-0.6269-0.02220.6047

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): 35.5th

Score distributionThreshold 0.3792Hospital -0.4527

Hospital score -0.4527. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 18.1th

Score distributionThreshold 0.3792Hospital -0.4527

Hospital score -0.4527. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4527; 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.

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