Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

INOVA FAIR OAKS HOSPITAL

VA · Facility ID 490101 · FY2026

Total HAC Score

-0.6791

Percentile

13.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.6791

Hospital score -0.6791. 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 -0.757
  • CLABSIz -0.736
  • CAUTIz -0.415
  • SSIz -0.675
  • CDIz -0.595
  • MRSAz -0.897

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-0.7566-0.8003-0.13450.6658
CAUTI-0.4147-0.8298-0.21230.6175
MRSA-0.8972-0.7725-0.15870.6137
CDI-0.5948-0.8237-0.21450.6092
CLABSI-0.7361-0.7908-0.18310.6078
SSI-0.6753-0.8093-0.20460.6047

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): 25.0th

Score distributionThreshold 0.3792Hospital -0.6791

Hospital score -0.6791. Penalty threshold 0.3792. Distribution of 70 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 7.5th

Score distributionThreshold 0.3792Hospital -0.6791

Hospital score -0.6791. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.6791; 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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