HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
INOVA ALEXANDRIA HOSPITAL
VA · Facility ID 490040 · FY2026
Total HAC Score
-0.4654
Percentile
22.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4654. 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 -0.697
- CLABSIz -0.286
- CAUTIz -0.516
- SSIz -0.706
- CDIz -1.005
- MRSAz 0.417
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.6965 | -0.5966 | 0.0692 | 0.6658 |
| CAUTI | -0.5159 | -0.5992 | 0.0183 | 0.6175 |
| MRSA | 0.4174 | -0.7779 | -0.1641 | 0.6137 |
| CDI | -1.0053 | -0.5416 | 0.0676 | 0.6092 |
| CLABSI | -0.2860 | -0.6522 | -0.0444 | 0.6078 |
| SSI | -0.7062 | -0.5905 | 0.0142 | 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): 35.0th
Hospital score -0.4654. Penalty threshold 0.3792. Distribution of 70 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 16.8th
Hospital score -0.4654. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4654; 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.