Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

SAN GABRIEL VALLEY MEDICAL CENTER

CA · Facility ID 050132 · FY2026

Total HAC Score

-0.3469

Percentile

29.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3468

Hospital score -0.3468. 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

-0.3468

Δ from file score

+0.0001

File -0.3469

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 0.960Z file -0.201sim -0.201
    0.273.32
  • SIR 1.692Z file 2.240sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 0.131Z file -1.003sim -1.003
    0.005.52
  • SIR 0.000Z file -1.456sim -1.456
    0.004.79

    No score impact — already at the measure floor.

  • SIR 0.169Z file -0.808sim -0.808
    0.003.32
  • SIR 0.289Z file -0.853sim -0.853
    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.