HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
SUTTER MEDICAL CENTER, SACRAMENTO
CA · Facility ID 050108 · FY2026
Total HAC Score
-0.1080
Percentile
45.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.1080. 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
-0.1080
Δ from file score
-0.0000
File -0.1080
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 0.986Z file -0.016 → sim -0.0170.273.32
- SIR 0.520Z file -0.200 → sim -0.2000.007.96
- SIR 0.642Z file 0.229 → sim 0.2290.005.52
- SIR 1.022Z file 0.294 → sim 0.2940.004.79
- SIR 0.277Z file -0.390 → sim -0.3900.003.32
- SIR 0.427Z file -0.565 → sim -0.5650.004.41
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.