Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

DAMERON HOSPITAL

CA · Facility ID 050122 · FY2026

Total HAC Score

0.1061

Percentile

59.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1061

Hospital score 0.1061. 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

0.1061

Δ from file score

+0.0000

File 0.1061

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 0.887Z file -0.711sim -0.711
    0.273.32
  • SIR 1.502Z file 2.078sim 2.078
    0.007.96
  • SIR 0.000Z file -1.319sim -1.319
    0.005.52

    No score impact — already at the measure floor.

  • SIR 0.000Z file -1.456sim -1.456
    0.004.79

    No score impact — already at the measure floor.

  • SIR 0.331Z file -0.180sim -0.180
    0.003.32
  • SIR 3.568Z file 2.225sim 2.225
    0.004.41

    No score impact — already at the measure cap.

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.