HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
INOVA FAIRFAX HOSPITAL
VA · Facility ID 490063 · FY2026
Total HAC Score
-0.1057
Percentile
45.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1057. 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 -0.828
- CLABSIz 0.090
- CAUTIz 0.243
- SSIz -0.131
- CDIz 0.710
- MRSAz -0.720
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.8275 | -0.2150 | 0.4507 | 0.6657 |
| CAUTI | 0.2434 | -0.3660 | 0.2514 | 0.6175 |
| MRSA | -0.7195 | -0.2287 | 0.3850 | 0.6137 |
| CDI | 0.7101 | -0.4678 | 0.1414 | 0.6092 |
| CLABSI | 0.0898 | -0.3551 | 0.2527 | 0.6078 |
| SSI | -0.1306 | -0.3267 | 0.2780 | 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): 63.6th
Hospital score -0.1057. Penalty threshold 0.3792. Distribution of 70 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 43.0th
Hospital score -0.1057. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1057; 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.