HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
UCSF HEALTH SAINT FRANCIS HOSPITAL
CA · Facility ID 050152 · FY2026
Total HAC Score
-0.0598
Percentile
48.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0598. 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 -1.216
- CLABSIz -0.757
- CAUTIz 0.812
- SSIz 0.039
- CDIz -1.462
- MRSAz 2.225
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.2159 | -0.1044 | 0.5614 | 0.6658 |
| CAUTI | 0.8123 | -0.4149 | 0.2026 | 0.6175 |
| MRSA | 2.2251 | -0.6735 | -0.0598 | 0.6137 |
| CDI | -1.4622 | -0.0598 | 0.5494 | 0.6092 |
| CLABSI | -0.7569 | -0.1680 | 0.4398 | 0.6078 |
| SSI | 0.0390 | -0.3090 | 0.2957 | 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): 46.4th
Hospital score -0.0598. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 46.5th
Hospital score -0.0598. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0598; 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.