Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL

CA · Facility ID 050055 · FY2026

Total HAC Score

-0.3667

Percentile

28.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3667

Hospital score -0.3667. 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

-0.3667

Δ from file score

-0.0000

File -0.3667

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 0.870Z file -0.824 → sim -0.824
    0.273.32
  • SIR 0.000Z file -1.407 → sim -1.406
    0.007.96

    No score impact — already at the measure floor.

  • SIR 0.688Z file 0.340 → sim 0.340
    0.005.52
  • SIR 0.580Z file -0.463 → sim -0.463
    0.004.79
  • SIR 0.324Z file -0.208 → sim -0.208
    0.003.32
  • SIR 0.870Z file 0.361 → sim 0.361
    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.