Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

PROVIDENCE ST MARY MEDICAL CENTER

CA · Facility ID 050300 · FY2026

Total HAC Score

0.4569

Percentile

78.5th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.4568

Hospital score 0.4568. 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

0.4568

Δ from file score

-0.0001

File 0.4569

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 1.053Z file 0.449 → sim 0.448
    0.273.32
  • SIR 1.383Z file 1.802 → sim 1.802
    0.007.96
  • SIR 0.189Z file -0.863 → sim -0.863
    0.005.52
  • SIR 1.184Z file 0.572 → sim 0.572
    0.004.79
  • SIR 0.576Z file 0.768 → sim 0.768
    0.003.32
  • SIR 0.704Z file 0.014 → sim 0.014
    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.