Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

HOUSTON METHODIST CLEAR LAKE HOSPITAL

TX · Facility ID 450709 · FY2026

Total HAC Score

-0.7512

Percentile

11.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7512

Hospital score -0.7512. 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 -1.030
  • CLABSIz 0.178
  • CAUTIz -1.319
  • SSIz -0.840
  • CDIz -0.699
  • MRSAz -0.797

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-1.0303-0.8267-0.16100.6658
CAUTI-1.3186-0.7512-0.13370.6175
MRSA-0.7969-0.8613-0.24750.6137
CDI-0.6994-0.8783-0.26910.6092
CLABSI0.1779-1.0153-0.40750.6078
SSI-0.8398-0.8540-0.24930.6047

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): 18.6th

Score distributionThreshold 0.3792Hospital -0.7512

Hospital score -0.7512. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 5.5th

Score distributionThreshold 0.3792Hospital -0.7512

Hospital score -0.7512. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7512; 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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