Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

REGIONAL MEDICAL CENTER OF SAN JOSE

CA · Facility ID 050125 · FY2026

Total HAC Score

-0.2588

Percentile

34.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2587

Hospital score -0.2587. 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

-0.2587

Δ from file score

+0.0000

File -0.2588

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 0.986Z file -0.016 → sim -0.016
    0.273.32
  • SIR 0.507Z file -0.230 → sim -0.230
    0.007.96
  • SIR 0.322Z file -0.542 → sim -0.542
    0.005.52
  • SIR 1.004Z file 0.263 → sim 0.263
    0.004.79
  • SIR 0.099Z file -1.079 → sim -1.079
    0.003.32
  • SIR 0.722Z file 0.052 → sim 0.052
    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.