Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

← All audits

Hospital audit

ADVENTIST HEALTH SIERRA VISTA

CA · Facility ID 050506 · FY2026

Total HAC Score

-0.7573

Percentile

10.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7573

Hospital score -0.7573. 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 -0.173
  • CLABSIz -0.504
  • CAUTIz -0.687
  • SSIz -1.456
  • CDIz -0.266
  • MRSAz -1.457

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-0.1734-0.9757-0.30990.6658
CAUTI-0.6871-0.8626-0.24510.6175
MRSA-1.4573-0.7574-0.14360.6137
CDI-0.2657-0.9568-0.34760.6092
CLABSI-0.5041-0.9078-0.30000.6078
SSI-1.4565-0.7574-0.15270.6047

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): 9.6th

Score distributionThreshold 0.3792Hospital -0.7573

Hospital score -0.7573. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 5.3th

Score distributionThreshold 0.3792Hospital -0.7573

Hospital score -0.7573. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7573; 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.

Scan a hospital system →