Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ALTA BATES SUMMIT MEDICAL CENTER

CA · Facility ID 050043 · FY2026

Total HAC Score

-0.8087

Percentile

8.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.8087

Hospital score -0.8087. 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 -0.690
  • CLABSIz -0.915
  • CAUTIz -0.877
  • SSIz -1.063
  • CDIz -0.467
  • MRSAz -0.841

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 fate-0.6899-0.9410-0.27520.6657
CAUTI-0.8775-0.8822-0.26470.6175
MRSA-0.8407-0.9115-0.29770.6137
CDI-0.4670-0.9746-0.36540.6092
CLABSI-0.9147-0.8907-0.28290.6078
SSI-1.0625-0.8744-0.26970.6047

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): 8.5th

Score distributionThreshold 0.3792Hospital -0.8087

Hospital score -0.8087. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 4.4th

Score distributionThreshold 0.3792Hospital -0.8087

Hospital score -0.8087. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.8087; 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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