Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

METHODIST HOSPITAL STONE OAK

TX · Facility ID 670055 · FY2026

Total HAC Score

-0.2629

Percentile

34.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2629

Hospital score -0.2629. 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 -1.483
  • CLABSIz 0.018
  • CAUTIz -0.166
  • SSIz 0.702
  • CDIz -0.676
  • MRSAz 0.029

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-1.4834-0.26290.40280.6658
CAUTI-0.1664-0.45500.16250.6175
MRSA0.0286-0.51060.10320.6137
CDI-0.6761-0.39390.21530.6092
CLABSI0.0179-0.50030.10750.6078
SSI0.7019-0.6227-0.01790.6047

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): 46.1th

Score distributionThreshold 0.3792Hospital -0.2629

Hospital score -0.2629. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 30.6th

Score distributionThreshold 0.3792Hospital -0.2629

Hospital score -0.2629. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.2629; 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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