Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

EL CENTRO REGIONAL MEDICAL CENTER

CA · Facility ID 050045 · FY2026

Total HAC Score

0.5567

Percentile

82.4th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5567

Hospital score 0.5567. 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

0.5567

Δ from file score

-0.0000

File 0.5567

Penalized (simulated)

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 0.887Z file -0.711sim -0.711
    0.273.32
  • SIR 0.958Z file 0.816sim 0.816
    0.007.96
  • SIR 2.573Z file 2.386sim 2.386
    0.005.52

    No score impact — already at the measure cap.

  • SIR 0.916Z file 0.113sim 0.113
    0.004.79
  • SIR 1.741Z file 2.193sim 2.193
    0.003.32

    No score impact — already at the measure cap.

  • SIR 0.000Z file -1.457sim -1.457
    0.004.41

    No score impact — already at the measure floor.

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.