HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SCRIPPS MEMORIAL HOSPITAL - ENCINITAS
CA · Facility ID 050503 · FY2026
Total HAC Score
-0.3285
Percentile
30.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3285. 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 -0.040
- CLABSIz -0.073
- CAUTIz -0.540
- SSIz -0.667
- CDIz -0.854
- MRSAz 0.202
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.0396 | -0.5692 | 0.0966 | 0.6658 |
| CAUTI | -0.5400 | -0.4583 | 0.1592 | 0.6175 |
| MRSA | 0.2021 | -0.6051 | 0.0086 | 0.6137 |
| CDI | -0.8542 | -0.4299 | 0.1794 | 0.6092 |
| CLABSI | -0.0726 | -0.5508 | 0.0570 | 0.6078 |
| SSI | -0.6668 | -0.4601 | 0.1446 | 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): 30.5th
Hospital score -0.3285. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 25.8th
Hospital score -0.3285. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3285; 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.