Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

PALOMAR MEDICAL CENTER POWAY

CA · Facility ID 050636 · FY2026

Total HAC Score

0.2072

Percentile

65.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.2072

Hospital score 0.2072. 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

0.2072

Δ from file score

+0.0000

File 0.2072

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 0.944Z file -0.308 → sim -0.308
    0.273.32
  • SIR 0.670Z file 0.148 → sim 0.148
    0.007.96
  • SIR 0.191Z file -0.858 → sim -0.858
    0.005.52
  • SIR 1.000Z file 0.257 → sim 0.257
    0.004.79
  • SIR 0.321Z file -0.219 → sim -0.219
    0.003.32
  • SIR 1.788Z file 2.225 → sim 2.225
    0.004.41

    No score impact — already at the measure cap.

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.