HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
ALHAMBRA HOSPITAL MEDICAL CENTER
CA · Facility ID 050281 · FY2026
Total HAC Score
0.0747
Percentile
57.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.0747. 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
0.0747
Δ from file score
-0.0000
File 0.0747
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 0.956Z file -0.227 → sim -0.2270.273.32
- SIR 0.475Z file -0.305 → sim -0.3050.007.96
- SIR 0.613Z file 0.159 → sim 0.1590.005.52
- SIR 0.000Z file -1.456 → sim -1.4560.004.79
No score impact — already at the measure floor.
- SIR 0.391Z file 0.052 → sim 0.0520.003.32
- SIR 2.358Z file 2.225 → sim 2.2250.004.41
No score impact — already at the measure cap.
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.