Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

PIH HEALTH DOWNEY HOSPITAL

CA · Facility ID 050393 · FY2026

Total HAC Score

-0.4866

Percentile

21.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.4866

Hospital score -0.4866. 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

-0.4866

Δ from file score

+0.0000

File -0.4866

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 0.866Z file -0.855sim -0.855
    0.273.32
  • SIR 0.872Z file 0.616sim 0.616
    0.007.96
  • SIR 0.000Z file -1.319sim -1.319
    0.005.52

    No score impact — already at the measure floor.

  • SIR 0.000Z file -1.456sim -1.456
    0.004.79

    No score impact — already at the measure floor.

  • SIR 0.416Z file 0.149sim 0.149
    0.003.32
  • SIR 0.671Z file -0.055sim -0.055
    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.