Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

NOVANT PRINCE WILLIAM MEDICAL CENTER

VA · Facility ID 490045 · FY2026

Total HAC Score

-0.6902

Percentile

13.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.6902

Hospital score -0.6902. 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 -1.228
  • CLABSIz -0.741
  • CAUTIz -1.319
  • SSIz 0.561
  • CDIz -0.959
  • MRSAz -0.456

Fragility

Each reported measure moves the score by 0.1667 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate-1.2285-0.7327-0.06700.6657
CAUTI-1.3186-0.6902-0.07280.6175
MRSA-0.4562-0.8571-0.24340.6137
CDI-0.9588-0.7741-0.16490.6092
CLABSI-0.7407-0.8012-0.19340.6078
SSI0.5614-1.0266-0.42190.6047

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): 23.6th

Score distributionThreshold 0.3792Hospital -0.6902

Hospital score -0.6902. Penalty threshold 0.3792. Distribution of 70 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 7.1th

Score distributionThreshold 0.3792Hospital -0.6902

Hospital score -0.6902. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.6902; 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.

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