Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SAN JOAQUIN GENERAL HOSPITAL

CA · Facility ID 050167 · FY2026

Total HAC Score

0.2186

Percentile

66.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.2186

Hospital score 0.2186. 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

0.2186

Δ from file score

0.0000

File 0.2186

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 1.493Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.741Z file 0.313 → sim 0.313
    0.007.96
  • SIR 0.237Z file -0.747 → sim -0.747
    0.005.52
  • SIR 0.515Z file -0.574 → sim -0.574
    0.004.79
  • SIR 0.198Z file -0.696 → sim -0.696
    0.003.32
  • SIR 0.939Z file 0.505 → sim 0.505
    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.