HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
YAVAPAI REGIONAL MEDICAL CENTER
AZ · Facility ID 030012 · FY2026
Total HAC Score
-0.1259
Percentile
44.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1259. 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 2.511
- CLABSIz -0.720
- CAUTIz -0.383
- SSIz -1.150
- CDIz 0.145
- MRSAz -1.158
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 2.5111 | -0.7917 | -0.1259 | 0.6657 |
| CAUTI | -0.3833 | -0.2818 | 0.3357 | 0.6175 |
| MRSA | -1.1584 | -0.1757 | 0.4380 | 0.6137 |
| CDI | 0.1447 | -0.3937 | 0.2155 | 0.6092 |
| CLABSI | -0.7198 | -0.2404 | 0.3674 | 0.6078 |
| SSI | -1.1498 | -0.1770 | 0.4277 | 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 AZ (61 scored): 40.2th
Hospital score -0.1259. Penalty threshold 0.3792. Distribution of 61 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 41.6th
Hospital score -0.1259. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1259; 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.