HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
JOHNSTON MEMORIAL HOSPITAL
VA · Facility ID 490053 · FY2026
Total HAC Score
-0.0320
Percentile
50.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0320. 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 -0.261
- CLABSIz 2.240
- CAUTIz -0.441
- SSIz -0.391
- CDIz -0.963
- MRSAz -0.377
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.2606 | -0.2358 | 0.4299 | 0.6657 |
| CAUTI | -0.4412 | -0.1782 | 0.4392 | 0.6175 |
| MRSA | -0.3768 | -0.2121 | 0.4016 | 0.6137 |
| CDI | -0.9627 | -0.1153 | 0.4940 | 0.6092 |
| CLABSI | 2.2402 | -0.6398 | -0.0320 | 0.6078 |
| SSI | -0.3910 | -0.2096 | 0.3951 | 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): 69.3th
Hospital score -0.0320. Penalty threshold 0.3792. Distribution of 70 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 48.8th
Hospital score -0.0320. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0320; 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.