HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SAN MATEO MEDICAL CENTER
CA · Facility ID 050113 · FY2026
Total HAC Score
-0.1382
Percentile
43.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1382. 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 -0.110
- CLABSIz -1.407
- CAUTIz -1.319
- SSIz -0.482
- CDIz 2.193
- MRSAz 0.294
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.1097 | -0.3672 | 0.2986 | 0.6658 |
| CAUTI | -1.3186 | -0.1382 | 0.4792 | 0.6175 |
| MRSA | 0.2941 | -0.4301 | 0.1836 | 0.6137 |
| CDI | 2.1931 | -0.7475 | -0.1382 | 0.6092 |
| CLABSI | -1.4065 | -0.1382 | 0.4695 | 0.6078 |
| SSI | -0.4818 | -0.3007 | 0.3040 | 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): 41.3th
Hospital score -0.1382. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 40.6th
Hospital score -0.1382. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1382; 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.