Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE

TX · Facility ID 670085 · FY2026

Total HAC Score

-1.1911

Percentile

2.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -1.1911

Hospital score -1.1911. 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 -0.556
  • CLABSIz -1.407
  • CAUTIz -1.319
  • SSIz -1.069
  • CDIz -1.338
  • MRSAz -1.457

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-0.5564-1.3456-0.67980.6657
CAUTI-1.3186-1.1911-0.57360.6175
MRSA-1.4573-1.1911-0.57730.6137
CDI-1.3383-1.2117-0.60250.6092
CLABSI-1.4065-1.1911-0.58330.6078
SSI-1.0693-1.2556-0.65090.6047

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): 1.8th

Score distributionThreshold 0.3792Hospital -1.1911

Hospital score -1.1911. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 0.2th

Score distributionThreshold 0.3792Hospital -1.1911

Hospital score -1.1911. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -1.1911; 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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