Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

ST MARY MEDICAL CENTER

CA · Facility ID 050191 · FY2026

Total HAC Score

-0.2277

Percentile

36.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2276

Hospital score -0.2276. 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

-0.2276

Δ from file score

+0.0001

File -0.2277

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 0.998Z file 0.066 → sim 0.066
    0.273.32
  • SIR 0.412Z file -0.451 → sim -0.451
    0.007.96
  • SIR 0.397Z file -0.362 → sim -0.362
    0.005.52
  • SIR 0.467Z file -0.656 → sim -0.656
    0.004.79
  • SIR 0.254Z file -0.479 → sim -0.479
    0.003.32
  • SIR 0.944Z file 0.516 → sim 0.516
    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.