Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

CALIFORNIA PACIFIC MEDICAL CENTER- VAN NESS CAMPUS

CA · Facility ID 050047 · FY2026

Total HAC Score

0.0340

Percentile

55.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.0340

Hospital score 0.0340. 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

0.0340

Δ from file score

-0.0000

File 0.0340

Not 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 1.058Z file 0.488 → sim 0.488
    0.273.32
  • SIR 0.658Z file 0.120 → sim 0.120
    0.007.96
  • SIR 0.314Z file -0.562 → sim -0.562
    0.005.52
  • SIR 1.345Z file 0.848 → sim 0.848
    0.004.79
  • SIR 0.190Z file -0.727 → sim -0.727
    0.003.32
  • SIR 0.715Z file 0.037 → sim 0.037
    0.004.41

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.