HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SANTA FE PHS INDIAN HOSPITAL
NM · Facility ID 320057 · FY2026
Total HAC Score
2.2433
Percentile
99.9th
Displayed status
Payment reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score 2.2433. 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-90N/A
- CLABSIImputedz 2.240
- CAUTIImputedz 2.386
- SSIImputedz 2.172
- CDIImputedz 2.193
- MRSAImputedz 2.225
Fragility
Each reported measure moves the score by 0.2000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| CAUTIcontrols fate | 2.3863 | 1.5023 | 2.2433 | 0.7410 |
| MRSA | 2.2251 | 1.5068 | 2.2433 | 0.7365 |
| CDI | 2.1931 | 1.5122 | 2.2433 | 0.7311 |
| CLABSI | 2.2402 | 1.5139 | 2.2433 | 0.7293 |
| SSI | 2.1717 | 1.5176 | 2.2433 | 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.
Imputation exposure
5 reported measures carry footnote 18 (imputed). Compare as-scored vs measured-only mean.
- As scored
- 2.2433
- Measured only
- N/A
- CLABSI imputed
- CAUTI imputed
- SSI imputed
- CDI imputed
- MRSA imputed
Peer context
Percentile within NM (26 scored): 98.1th
Hospital score 2.2433. Penalty threshold 0.3792. Distribution of 26 scored hospitals.
Percentile among hospitals with 5 reported measures (220 scored): 99.1th
Hospital score 2.2433. Penalty threshold 0.3792. Distribution of 220 scored hospitals.
Plain-language verdict
As scored, the CMS file lists payment reduction Yes (Total HAC Score 2.2433; threshold 0.3792).
Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 points.
Penalized as scored on imputed values only (footnote 18); excluding imputation leaves no measured Z-scores — a mechanics illustration, not a CMS prediction.
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.