Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

POMONA VALLEY HOSPITAL MEDICAL CENTER

CA · Facility ID 050231 · FY2026

Total HAC Score

-0.1809

Percentile

40.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.1810

Hospital score -0.1810. 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

-0.1810

Δ from file score

-0.0001

File -0.1809

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 0.646Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 0.736Z file 0.301 → sim 0.301
    0.007.96
  • SIR 0.487Z file -0.145 → sim -0.145
    0.005.52
  • SIR 0.912Z file 0.106 → sim 0.106
    0.004.79
  • SIR 0.551Z file 0.671 → sim 0.671
    0.003.32
  • SIR 0.441Z file -0.536 → sim -0.536
    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.