HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
CENTINELA HOSPITAL MEDICAL CENTER
CA · Facility ID 050739 · FY2026
Total HAC Score
-0.5870
Percentile
15.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.5870. 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
-0.5870
Δ from file score
+0.0000
File -0.5870
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 0.834Z file -1.075 → sim -1.0750.273.32
- SIR 0.698Z file 0.213 → sim 0.2130.007.96
- SIR 0.218Z file -0.793 → sim -0.7930.005.52
- SIR 0.000Z file -1.456 → sim -1.4560.004.79
No score impact — already at the measure floor.
- SIR 0.000Z file -1.462 → sim -1.4620.003.32
No score impact — already at the measure floor.
- SIR 1.201Z file 1.053 → sim 1.0530.004.41
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.