HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
CHRISTUS ST MICHAEL HEALTH SYSTEM
TX · Facility ID 450801 · FY2026
Total HAC Score
-0.2765
Percentile
33.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2765. 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 -1.014
- CLABSIz 0.421
- CAUTIz -0.439
- SSIz -0.514
- CDIz -0.266
- MRSAz 0.152
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0135 | -0.3548 | 0.3110 | 0.6658 |
| CAUTI | -0.4388 | -0.4231 | 0.1944 | 0.6175 |
| MRSA | 0.1520 | -0.5447 | 0.0690 | 0.6137 |
| CDI | -0.2657 | -0.4759 | 0.1333 | 0.6092 |
| CLABSI | 0.4215 | -0.5811 | 0.0266 | 0.6078 |
| SSI | -0.5143 | -0.4335 | 0.1712 | 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): 45.7th
Hospital score -0.2765. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 29.6th
Hospital score -0.2765. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2765; 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.