HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
NORTH AUSTIN MEDICAL CENTER
TX · Facility ID 450809 · FY2026
Total HAC Score
-0.5211
Percentile
19.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5211. 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 -0.897
- CLABSIz -0.465
- CAUTIz -0.733
- SSIz -0.158
- CDIz -0.827
- MRSAz -0.047
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.8974 | -0.6188 | 0.0470 | 0.6658 |
| CAUTI | -0.7329 | -0.6187 | -0.0012 | 0.6175 |
| MRSA | -0.0466 | -0.7562 | -0.1425 | 0.6137 |
| CDI | -0.8271 | -0.6270 | -0.0177 | 0.6092 |
| CLABSI | -0.4646 | -0.6781 | -0.0703 | 0.6078 |
| SSI | -0.1580 | -0.7375 | -0.1328 | 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): 30.4th
Hospital score -0.5211. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 13.4th
Hospital score -0.5211. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5211; 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.