HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
LEWISGALE MEDICAL CENTER
VA · Facility ID 490048 · FY2026
Total HAC Score
-0.3194
Percentile
31.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3194. 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 0.243
- CAUTIz -0.287
- SSIz 0.133
- CDIz -0.963
- MRSAz 0.440
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 | -0.3194 | 0.3463 | 0.6658 |
| CAUTI | -0.2869 | -0.4914 | 0.1261 | 0.6175 |
| MRSA | 0.4404 | -0.6357 | -0.0220 | 0.6137 |
| CDI | -0.9627 | -0.4027 | 0.2065 | 0.6092 |
| CLABSI | 0.2429 | -0.5943 | 0.0135 | 0.6078 |
| SSI | 0.1332 | -0.5844 | 0.0203 | 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): 45.0th
Hospital score -0.3194. Penalty threshold 0.3792. Distribution of 70 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 26.5th
Hospital score -0.3194. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3194; 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.