HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ASCENSION SETON HAYS
TX · Facility ID 670056 · FY2026
Total HAC Score
-0.7218
Percentile
12.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.7218. 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 -1.374
- CLABSIz -0.344
- CAUTIz -0.097
- SSIz -0.026
- CDIz -1.032
- MRSAz -1.457
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.3744 | -0.7399 | -0.0742 | 0.6657 |
| CAUTI | -0.0965 | -0.9255 | -0.3080 | 0.6175 |
| MRSA | -1.4573 | -0.7218 | -0.1081 | 0.6137 |
| CDI | -1.0324 | -0.7934 | -0.1842 | 0.6092 |
| CLABSI | -0.3440 | -0.8989 | -0.2911 | 0.6078 |
| SSI | -0.0261 | -0.9602 | -0.3555 | 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): 20.2th
Hospital score -0.7218. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 6.3th
Hospital score -0.7218. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.7218; 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.