Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

SENTARA RMH MEDICAL CENTER

VA · Facility ID 490004 · FY2026

Total HAC Score

-0.1794

Percentile

40.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1794

Hospital score -0.1794. 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 -0.855
  • CLABSIz -0.409
  • CAUTIz 0.672
  • SSIz 0.071
  • CDIz -0.633
  • MRSAz 0.077

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-0.8546-0.28420.38160.6658
CAUTI0.6725-0.51120.10620.6175
MRSA0.0767-0.43510.17870.6137
CDI-0.6335-0.31750.29170.6092
CLABSI-0.4090-0.34570.26210.6078
SSI0.0715-0.43410.17060.6047

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 VA (70 scored): 57.9th

Score distributionThreshold 0.3792Hospital -0.1794

Hospital score -0.1794. Penalty threshold 0.3792. Distribution of 70 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 37.6th

Score distributionThreshold 0.3792Hospital -0.1794

Hospital score -0.1794. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1794; 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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