Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

PIONEERS MEMORIAL HEALTHCARE DISTRICT

CA · Facility ID 050342 · FY2026

Total HAC Score

1.4007

Percentile

97.6th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 1.4007

Hospital score 1.4007. 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

1.4007

Δ from file score

+0.0000

File 1.4007

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 1.159Z file 1.188 → sim 1.188
    0.273.32
  • SIR 1.699Z file 2.240 → sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 0.892Z file 0.832 → sim 0.832
    0.005.52
  • SIR 2.521Z file 2.172 → sim 2.172
    0.004.79

    No score impact — already at the measure cap.

  • SIR 0.550Z file 0.667 → sim 0.667
    0.003.32
  • SIR 1.322Z file 1.306 → sim 1.306
    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.