Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MEMORIAL HERMANN KATY HOSPITAL

TX · Facility ID 450847 · FY2026

Total HAC Score

-0.7103

Percentile

12.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7103

Hospital score -0.7103. 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 -0.880
  • CLABSIz -1.158
  • CAUTIz -0.615
  • SSIz 0.145
  • CDIz -0.614
  • MRSAz -1.140

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-0.8803-0.8108-0.14510.6658
CAUTI-0.6147-0.8276-0.21010.6175
MRSA-1.1396-0.7633-0.14950.6137
CDI-0.6142-0.8516-0.24240.6092
CLABSI-1.1583-0.7517-0.14390.6078
SSI0.1452-0.9773-0.37260.6047

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): 21.8th

Score distributionThreshold 0.3792Hospital -0.7103

Hospital score -0.7103. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 6.7th

Score distributionThreshold 0.3792Hospital -0.7103

Hospital score -0.7103. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7103; 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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