Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

UCSF HEALTH SAINT FRANCIS HOSPITAL

CA · Facility ID 050152 · FY2026

Total HAC Score

-0.0598

Percentile

48.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0598

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.

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-1.2159-0.10440.56140.6658
CAUTI0.8123-0.41490.20260.6175
MRSA2.2251-0.6735-0.05980.6137
CDI-1.4622-0.05980.54940.6092
CLABSI-0.7569-0.16800.43980.6078
SSI0.0390-0.30900.29570.6047

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

Score distributionThreshold 0.3792Hospital -0.0598

Hospital score -0.0598. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 46.5th

Score distributionThreshold 0.3792Hospital -0.0598

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.

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