Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

WASHINGTON HOSPITAL

CA · Facility ID 050195 · FY2026

Total HAC Score

-0.3622

Percentile

28.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3621

Hospital score -0.3621. 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

-0.3621

Δ from file score

+0.0001

File -0.3622

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 0.923Z file -0.459 → sim -0.459
    0.273.32
  • SIR 0.000Z file -1.407 → sim -1.406
    0.007.96

    No score impact — already at the measure floor.

  • SIR 0.541Z file -0.015 → sim -0.015
    0.005.52
  • SIR 0.657Z file -0.331 → sim -0.331
    0.004.79
  • SIR 0.231Z file -0.568 → sim -0.568
    0.003.32
  • SIR 0.987Z file 0.606 → sim 0.606
    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.