HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER
VA · Facility ID 490066 · FY2026
Total HAC Score
-0.5165
Percentile
19.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5165. 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 -1.438
- CLABSIz -0.061
- CAUTIz 1.008
- SSIz -1.011
- CDIz -1.121
- MRSAz -0.475
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.4377 | -0.5241 | 0.1417 | 0.6657 |
| CAUTI | 1.0075 | -0.9041 | -0.2867 | 0.6175 |
| MRSA | -0.4750 | -0.6802 | -0.0664 | 0.6137 |
| CDI | -1.1214 | -0.5732 | 0.0360 | 0.6092 |
| CLABSI | -0.0610 | -0.7407 | -0.1329 | 0.6078 |
| SSI | -1.0111 | -0.5907 | 0.0140 | 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): 33.6th
Hospital score -0.5165. Penalty threshold 0.3792. Distribution of 70 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 14.1th
Hospital score -0.5165. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5165; 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.