HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
INOVA FAIR OAKS HOSPITAL
VA · Facility ID 490101 · FY2026
Total HAC Score
-0.6791
Percentile
13.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
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.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.7566 | -0.8003 | -0.1345 | 0.6658 |
| CAUTI | -0.4147 | -0.8298 | -0.2123 | 0.6175 |
| MRSA | -0.8972 | -0.7725 | -0.1587 | 0.6137 |
| CDI | -0.5948 | -0.8237 | -0.2145 | 0.6092 |
| CLABSI | -0.7361 | -0.7908 | -0.1831 | 0.6078 |
| SSI | -0.6753 | -0.8093 | -0.2046 | 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): 25.0th
Hospital score -0.6791. Penalty threshold 0.3792. Distribution of 70 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 7.5th
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.