HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SUTTER MEDICAL CENTER, SACRAMENTO
CA · Facility ID 050108 · FY2026
Total HAC Score
-0.1080
Percentile
45.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1080. 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 -0.016
- CLABSIz -0.200
- CAUTIz 0.229
- SSIz 0.294
- CDIz -0.390
- MRSAz -0.565
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.0164 | -0.3525 | 0.3132 | 0.6658 |
| CAUTI | 0.2289 | -0.3659 | 0.2516 | 0.6175 |
| MRSA | -0.5649 | -0.2567 | 0.3570 | 0.6137 |
| CDI | -0.3896 | -0.2868 | 0.3224 | 0.6092 |
| CLABSI | -0.2002 | -0.3090 | 0.2987 | 0.6078 |
| SSI | 0.2942 | -0.3998 | 0.2049 | 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): 43.9th
Hospital score -0.1080. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 42.8th
Hospital score -0.1080. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1080; 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.