HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
CJW MEDICAL CENTER
VA · Facility ID 490112 · FY2026
Total HAC Score
-0.2262
Percentile
37.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2262. 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 0.872
- CLABSIz -0.286
- CAUTIz -0.559
- SSIz -0.369
- CDIz -1.028
- MRSAz 0.014
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.8716 | -0.6187 | 0.0471 | 0.6658 |
| CAUTI | -0.5593 | -0.3527 | 0.2648 | 0.6175 |
| MRSA | 0.0140 | -0.4714 | 0.1424 | 0.6137 |
| CDI | -1.0285 | -0.2984 | 0.3108 | 0.6092 |
| CLABSI | -0.2860 | -0.4129 | 0.1949 | 0.6078 |
| SSI | -0.3687 | -0.4074 | 0.1973 | 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): 53.6th
Hospital score -0.2262. Penalty threshold 0.3792. Distribution of 70 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 33.4th
Hospital score -0.2262. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2262; 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.