HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SAN RAMON REGIONAL MEDICAL CENTER
CA · Facility ID 050689 · FY2026
Total HAC Score
-0.7452
Percentile
11.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.7452. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -1.190
- CLABSIN/A
- CAUTIz -1.319
- SSIz -0.811
- CDIz 1.051
- MRSAz -1.457
Fragility
Each reported measure moves the score by 0.2000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.1901 | -0.8038 | -0.0049 | 0.7989 |
| CAUTI | -1.3186 | -0.7452 | -0.0042 | 0.7410 |
| MRSA | -1.4573 | -0.7452 | -0.0087 | 0.7365 |
| CDI | 1.0508 | -1.2478 | -0.5167 | 0.7311 |
| SSI | -0.8107 | -0.8743 | -0.1487 | 0.7256 |
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): 10.3th
Hospital score -0.7452. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 5 reported measures (220 scored): 14.3th
Hospital score -0.7452. Penalty threshold 0.3792. Distribution of 220 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.7452; threshold 0.3792).
Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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.