HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ASCENSION SETON WILLIAMSON
TX · Facility ID 670041 · FY2026
Total HAC Score
-0.3524
Percentile
28.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3524. 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 -1.430
- CLABSIz -0.142
- CAUTIz -0.559
- SSIz -0.275
- CDIz -0.316
- MRSAz 0.608
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.4297 | -0.3613 | 0.3044 | 0.6658 |
| CAUTI | -0.5593 | -0.4789 | 0.1386 | 0.6175 |
| MRSA | 0.6075 | -0.6965 | -0.0828 | 0.6137 |
| CDI | -0.3160 | -0.5434 | 0.0658 | 0.6092 |
| CLABSI | -0.1422 | -0.5631 | 0.0447 | 0.6078 |
| SSI | -0.2745 | -0.5494 | 0.0553 | 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): 42.9th
Hospital score -0.3524. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 23.8th
Hospital score -0.3524. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3524; 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.