HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ALTA BATES SUMMIT MEDICAL CENTER
CA · Facility ID 050043 · FY2026
Total HAC Score
-0.8087
Percentile
8.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
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.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.6899 | -0.9410 | -0.2752 | 0.6657 |
| CAUTI | -0.8775 | -0.8822 | -0.2647 | 0.6175 |
| MRSA | -0.8407 | -0.9115 | -0.2977 | 0.6137 |
| CDI | -0.4670 | -0.9746 | -0.3654 | 0.6092 |
| CLABSI | -0.9147 | -0.8907 | -0.2829 | 0.6078 |
| SSI | -1.0625 | -0.8744 | -0.2697 | 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): 8.5th
Hospital score -0.8087. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 4.4th
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.