HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
WINCHESTER MEDICAL CENTER
VA · Facility ID 490005 · FY2026
Total HAC Score
-0.2565
Percentile
35.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2565. 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 -0.992
- CLABSIz 0.851
- CAUTIz -0.181
- SSIz -0.658
- CDIz -0.146
- MRSAz -0.412
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.9924 | -0.3383 | 0.3275 | 0.6658 |
| CAUTI | -0.1809 | -0.4461 | 0.1714 | 0.6175 |
| MRSA | -0.4123 | -0.4306 | 0.1831 | 0.6137 |
| CDI | -0.1457 | -0.4759 | 0.1333 | 0.6092 |
| CLABSI | 0.8507 | -0.6327 | -0.0249 | 0.6078 |
| SSI | -0.6582 | -0.3895 | 0.2152 | 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): 50.7th
Hospital score -0.2565. Penalty threshold 0.3792. Distribution of 70 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 31.2th
Hospital score -0.2565. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2565; 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.