Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

DOCTORS HOSPTAL AT RENAISSANCE

TX · Facility ID 450869 · FY2026

Total HAC Score

-0.7264

Percentile

11.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7264

Hospital score -0.7264. 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 -0.757
  • CLABSIz -1.304
  • CAUTIz -0.212
  • SSIz -0.434
  • CDIz -1.176
  • MRSAz -0.475

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-0.7572-0.8474-0.18170.6658
CAUTI-0.2122-0.9108-0.29330.6175
MRSA-0.4750-0.8901-0.27640.6137
CDI-1.1756-0.7741-0.16490.6092
CLABSI-1.3044-0.7434-0.13560.6078
SSI-0.4338-0.8968-0.29210.6047

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): 19.4th

Score distributionThreshold 0.3792Hospital -0.7264

Hospital score -0.7264. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 6.1th

Score distributionThreshold 0.3792Hospital -0.7264

Hospital score -0.7264. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7264; 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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