HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SENTARA RMH MEDICAL CENTER
VA · Facility ID 490004 · FY2026
Total HAC Score
-0.1794
Percentile
40.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
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.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.8546 | -0.2842 | 0.3816 | 0.6658 |
| CAUTI | 0.6725 | -0.5112 | 0.1062 | 0.6175 |
| MRSA | 0.0767 | -0.4351 | 0.1787 | 0.6137 |
| CDI | -0.6335 | -0.3175 | 0.2917 | 0.6092 |
| CLABSI | -0.4090 | -0.3457 | 0.2621 | 0.6078 |
| SSI | 0.0715 | -0.4341 | 0.1706 | 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 VA (70 scored): 57.9th
Hospital score -0.1794. Penalty threshold 0.3792. Distribution of 70 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 37.6th
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.