HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER
CA · Facility ID 050009 · FY2026
Total HAC Score
-0.3563
Percentile
28.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3563. 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 -0.904
- CLABSIz 0.633
- CAUTIz -1.319
- SSIz 0.330
- CDIz -0.359
- MRSAz -0.519
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.9043 | -0.4528 | 0.2130 | 0.6657 |
| CAUTI | -1.3186 | -0.3563 | 0.2612 | 0.6175 |
| MRSA | -0.5189 | -0.5127 | 0.1011 | 0.6137 |
| CDI | -0.3586 | -0.5402 | 0.0690 | 0.6092 |
| CLABSI | 0.6326 | -0.6961 | -0.0883 | 0.6078 |
| SSI | 0.3302 | -0.6540 | -0.0494 | 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 CA (277 scored): 28.3th
Hospital score -0.3563. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 23.5th
Hospital score -0.3563. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3563; 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.