HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SENTARA OBICI HOSPITAL
VA · Facility ID 490044 · FY2026
Total HAC Score
-0.5429
Percentile
18.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5429. 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 -1.001
- CLABSIz -0.847
- CAUTIz -0.186
- SSIz -0.365
- CDIz -0.947
- MRSAz 0.089
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0012 | -0.6233 | 0.0425 | 0.6657 |
| CAUTI | -0.1857 | -0.7317 | -0.1143 | 0.6175 |
| MRSA | 0.0893 | -0.8007 | -0.1870 | 0.6137 |
| CDI | -0.9472 | -0.6288 | -0.0195 | 0.6092 |
| CLABSI | -0.8474 | -0.6361 | -0.0283 | 0.6078 |
| SSI | -0.3653 | -0.7248 | -0.1201 | 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): 30.7th
Hospital score -0.5429. Penalty threshold 0.3792. Distribution of 70 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 12.1th
Hospital score -0.5429. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5429; 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.