Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

CALIFORNIA HOSPITAL MEDICAL CENTER LA

CA · Facility ID 050149 · FY2026

Total HAC Score

0.2988

Percentile

70.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.2988

Hospital score 0.2988. 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

0.2988

Δ from file score

+0.0000

File 0.2988

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 1.056Z file 0.474 → sim 0.474
    0.273.32
  • SIR 0.759Z file 0.354 → sim 0.354
    0.007.96
  • SIR 0.285Z file -0.632 → sim -0.632
    0.005.52
  • SIR 1.046Z file 0.335 → sim 0.335
    0.004.79
  • SIR 0.330Z file -0.184 → sim -0.184
    0.003.32
  • SIR 1.389Z file 1.446 → sim 1.446
    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.