HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
ADVENTIST HEALTH ST HELENA
CA · Facility ID 050013 · FY2026
Total HAC Score
0.2109
Percentile
65.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.2109. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Live result
Equal-weight mean of edited reported Z · threshold 0.3792(strict >) · simulated/illustrative
Simulated Total HAC
0.2109
Δ from file score
-0.0000
File 0.2109
Measure controls
Drag reported SIRs (PSI-90: Composite Value). Z updates live via the empirical map, clamped to each measure's floor/cap.
- Composite Value 1.209Z file 1.541 → sim 1.5410.273.32
- SIR 0.286Z file -0.743 → sim -0.7430.007.96
- SIR 0.000Z file -1.319 → sim -1.3190.005.52
No score impact — already at the measure floor.
- SIR 0.746Z file -0.179 → sim -0.1790.004.79
- SIR 0.789Z file 1.593 → sim 1.5930.003.32
- SIR 0.875Z file 0.371 → sim 0.3710.004.41
Solver
Smallest change to clear (or cushion before crossing) the 0.3792 threshold — holding other measures fixed. Simulated/illustrative.
Insufficient data to score — solver unavailable.