ST LUKE'S THE WOODLANDS HOSPITAL

TX · Facility ID 450862 · FY2026

Total HAC Score

1.2996

Percentile

97.3th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 1.2996

Live result

Equal-weight mean of edited reported Z · threshold 0.3792(strict >) · simulated/illustrative

Simulated Total HAC

1.2996

Δ from file score

+0.0000

File 1.2996

Penalized (simulated)

Drag reported SIRs (PSI-90: Composite Value). Z updates live via the empirical map, clamped to each measure's floor/cap.

PSI-90Patient Safety and Adverse Events Composite (PSI-90)
Composite Value 0.963Z file -0.177 → sim -0.177
0.273.32
CLABSICentral Line-Associated Bloodstream Infection (CLABSI)
SIR 1.170Z file 1.308 → sim 1.308
0.007.96
CAUTICatheter-Associated Urinary Tract Infection (CAUTI)
SIR 0.579Z file 0.077 → sim 0.077
0.005.52
SSISurgical Site Infection (SSI)
SIR 2.670Z file 2.172 → sim 2.172
0.004.79
No score impact — already at the measure cap.
CDIClostridioides difficile Infection (CDI)
SIR 1.376Z file 2.193 → sim 2.193
0.003.32
No score impact — already at the measure cap.
MRSAMethicillin-resistant Staphylococcus aureus Bacteremia (MRSA)
SIR 2.342Z file 2.225 → sim 2.225
0.004.41
No score impact — already at the measure cap.

Smallest change to clear (or cushion before crossing) the 0.3792 threshold — holding other measures fixed. Simulated/illustrative.

Insufficient data to score — solver unavailable.