Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SUTTER ROSEVILLE MEDICAL CENTER

CA · Facility ID 050309 · FY2026

Total HAC Score

-0.5440

Percentile

17.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.5440

Hospital score -0.5440. 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

-0.5440

Δ from file score

-0.0000

File -0.5440

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 0.906Z file -0.576 → sim -0.576
    0.273.32
  • SIR 0.274Z file -0.771 → sim -0.771
    0.007.96
  • SIR 0.575Z file 0.067 → sim 0.067
    0.005.52
  • SIR 0.547Z file -0.519 → sim -0.519
    0.004.79
  • SIR 0.192Z file -0.719 → sim -0.719
    0.003.32
  • SIR 0.340Z file -0.747 → sim -0.747
    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.