HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST DAVID'S SOUTH AUSTIN MEDICAL CENTER
TX · Facility ID 450713 · FY2026
Total HAC Score
-0.1688
Percentile
41.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1688. 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 0.029
- CLABSIz 0.236
- CAUTIz -0.930
- SSIz -0.103
- CDIz -0.816
- MRSAz 0.572
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0288 | -0.4208 | 0.2450 | 0.6657 |
| CAUTI | -0.9305 | -0.2334 | 0.3841 | 0.6175 |
| MRSA | 0.5720 | -0.5070 | 0.1068 | 0.6137 |
| CDI | -0.8155 | -0.2765 | 0.3327 | 0.6092 |
| CLABSI | 0.2359 | -0.4425 | 0.1653 | 0.6078 |
| SSI | -0.1032 | -0.3943 | 0.2104 | 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): 56.3th
Hospital score -0.1688. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 38.2th
Hospital score -0.1688. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1688; 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.