Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SEQUOIA HOSPITAL

CA · Facility ID 050197 · FY2026

Total HAC Score

0.0267

Percentile

54.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.0267

Hospital score 0.0267. 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

0.0267

Δ from file score

-0.0000

File 0.0267

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 0.920Z file -0.476 → sim -0.477
    0.273.32
  • SIR 0.808Z file 0.468 → sim 0.468
    0.007.96
  • SIR 0.992Z file 1.073 → sim 1.073
    0.005.52
  • SIR 0.764Z file -0.148 → sim -0.148
    0.004.79
  • SIR 0.189Z file -0.730 → sim -0.730
    0.003.32
  • SIR 0.685Z file -0.026 → sim -0.026
    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.