HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ASCENSION SETON NORTHWEST
TX · Facility ID 450867 · FY2026
Total HAC Score
-0.9387
Percentile
4.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.9387. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.781
- CLABSIz -1.407
- CAUTIz -0.087
- SSIz -1.456
- CDIz -0.963
- MRSAN/A
Fragility
Each reported measure moves the score by 0.2000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.7809 | -1.0792 | -0.2803 | 0.7989 |
| CAUTI | -0.0868 | -1.1850 | -0.4441 | 0.7410 |
| CDI | -0.9627 | -1.0386 | -0.3075 | 0.7311 |
| CLABSI | -1.4065 | -0.9387 | -0.2093 | 0.7293 |
| SSI | -1.4565 | -0.9387 | -0.2130 | 0.7256 |
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): 7.6th
Hospital score -0.9387. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 5 reported measures (220 scored): 5.7th
Hospital score -0.9387. Penalty threshold 0.3792. Distribution of 220 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.9387; threshold 0.3792).
Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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.