HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
INOVA LOUDOUN HOSPITAL
VA · Facility ID 490043 · FY2026
Total HAC Score
-0.3338
Percentile
30.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3338. 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 -1.483
- CLABSIz 1.387
- CAUTIz 0.104
- SSIz -0.004
- CDIz -0.548
- MRSAz -1.457
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.4834 | -0.3338 | 0.3319 | 0.6658 |
| CAUTI | 0.1036 | -0.5708 | 0.0466 | 0.6175 |
| MRSA | -1.4573 | -0.3338 | 0.2799 | 0.6137 |
| CDI | -0.5484 | -0.4861 | 0.1231 | 0.6092 |
| CLABSI | 1.3865 | -0.7993 | -0.1915 | 0.6078 |
| SSI | -0.0038 | -0.5759 | 0.0288 | 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): 43.6th
Hospital score -0.3338. Penalty threshold 0.3792. Distribution of 70 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 25.2th
Hospital score -0.3338. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3338; 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.