Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SCRIPPS MEMORIAL HOSPITAL - ENCINITAS

CA · Facility ID 050503 · FY2026

Total HAC Score

-0.3285

Percentile

30.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3285

Hospital score -0.3285. 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

-0.3285

Δ from file score

+0.0000

File -0.3285

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 0.983Z file -0.040 → sim -0.039
    0.273.32
  • SIR 0.575Z file -0.073 → sim -0.073
    0.007.96
  • SIR 0.323Z file -0.540 → sim -0.540
    0.005.52
  • SIR 0.461Z file -0.667 → sim -0.667
    0.004.79
  • SIR 0.157Z file -0.854 → sim -0.854
    0.003.32
  • SIR 0.794Z file 0.202 → sim 0.202
    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.