Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS

CA · Facility ID 050180 · FY2026

Total HAC Score

0.5571

Percentile

82.4th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5571

Hospital score 0.5571. 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

0.5571

Δ from file score

+0.0000

File 0.5571

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 1.137Z file 1.038 → sim 1.038
    0.273.32
  • SIR 1.033Z file 0.990 → sim 0.990
    0.007.96
  • SIR 0.511Z file -0.087 → sim -0.087
    0.005.52
  • SIR 1.415Z file 0.967 → sim 0.967
    0.004.79
  • SIR 0.533Z file 0.602 → sim 0.602
    0.003.32
  • SIR 0.617Z file -0.168 → sim -0.168
    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.