Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

MEDICAL CITY ALLIANCE

TX · Facility ID 670103 · FY2026

Total HAC Score

-0.4532

Percentile

23.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4532

Hospital score -0.4532. 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 0.217
  • CLABSIz -0.847
  • CAUTIz -1.319
  • SSIz -0.518
  • CDIz -1.253
  • MRSAz 1.000

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 fate0.2172-0.7366-0.07090.6658
CAUTI-1.3186-0.45320.16430.6175
MRSA1.0004-0.8628-0.24910.6137
CDI-1.2531-0.48800.12120.6092
CLABSI-0.8474-0.54640.06140.6078
SSI-0.5177-0.6097-0.00500.6047

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): 35.1th

Score distributionThreshold 0.3792Hospital -0.4532

Hospital score -0.4532. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 18.0th

Score distributionThreshold 0.3792Hospital -0.4532

Hospital score -0.4532. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4532; 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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