HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ROUND ROCK MEDICAL CENTER
TX · Facility ID 450718 · FY2026
Total HAC Score
-0.2478
Percentile
35.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2478. 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 0.779
- CLABSIz -0.316
- CAUTIz -0.868
- SSIz -1.047
- CDIz -0.839
- MRSAz 0.804
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.7792 | -0.6249 | 0.0409 | 0.6657 |
| CAUTI | -0.8678 | -0.3229 | 0.2946 | 0.6175 |
| MRSA | 0.8040 | -0.6247 | -0.0109 | 0.6137 |
| CDI | -0.8388 | -0.3517 | 0.2575 | 0.6092 |
| CLABSI | -0.3162 | -0.4295 | 0.1783 | 0.6078 |
| SSI | -1.0471 | -0.3160 | 0.2887 | 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): 48.8th
Hospital score -0.2478. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 31.6th
Hospital score -0.2478. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2478; 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.