Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO

CA · Facility ID 050070 · FY2026

Total HAC Score

-0.4636

Percentile

22.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4636

Hospital score -0.4636. 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 -0.119
  • CLABSIz -0.532
  • CAUTIz 0.007
  • SSIz 0.267
  • CDIz -0.947
  • MRSAz -1.457

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-0.1195-0.6910-0.02520.6657
CAUTI0.0072-0.6846-0.06710.6175
MRSA-1.4573-0.46370.15010.6137
CDI-0.9472-0.54950.05970.6092
CLABSI-0.5319-0.6094-0.00160.6078
SSI0.2668-0.7509-0.14620.6047

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): 22.2th

Score distributionThreshold 0.3792Hospital -0.4636

Hospital score -0.4636. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 17.0th

Score distributionThreshold 0.3792Hospital -0.4636

Hospital score -0.4636. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4636; 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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