Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

METHODIST MIDLOTHIAN MEDICAL CENTER

TX · Facility ID 670300 · FY2026

Total HAC Score

-0.1743

Percentile

40.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1743

Hospital score -0.1743. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 4 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z 0.254
  • CLABSIz 0.514
  • CAUTIN/A
  • SSIz -0.778
  • CDIz -0.688
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.2500 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 fate0.2544-0.60870.38990.9986
CDI-0.6877-0.36790.54590.9138
CLABSI0.5143-0.65450.25720.9117
SSI-0.7781-0.34390.56320.9070

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): 55.9th

Score distributionThreshold 0.3792Hospital -0.1743

Hospital score -0.1743. Penalty threshold 0.3792. Distribution of 255 scored hospitals.

Percentile among hospitals with 4 reported measures (139 scored): 39.9th

Score distributionThreshold 0.3792Hospital -0.1743

Hospital score -0.1743. Penalty threshold 0.3792. Distribution of 139 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1743; threshold 0.3792).

Reported on 4 of 6 measures; each reported measure moves the equal-weighted score by 0.2500 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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