Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

PALMDALE REGIONAL MEDICAL CENTER

CA · Facility ID 050204 · FY2026

Total HAC Score

-0.5354

Percentile

18.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.5354

Hospital score -0.5354. 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

-0.5354

Δ from file score

-0.0000

File -0.5354

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 0.868Z file -0.841 → sim -0.841
    0.273.32
  • SIR 0.419Z file -0.434 → sim -0.434
    0.007.96
  • SIR 0.482Z file -0.157 → sim -0.157
    0.005.52
  • SIR 0.646Z file -0.350 → sim -0.350
    0.004.79
  • SIR 0.269Z file -0.421 → sim -0.421
    0.003.32
  • SIR 0.214Z file -1.010 → sim -1.010
    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.