Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

KAISER SUNNYSIDE MEDICAL CENTER

OR · Facility ID 380091 · FY2026

Total HAC Score

0.4184

Percentile

76.6th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.4183

Hospital score 0.4183. 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

0.4183

Δ from file score

-0.0000

File 0.4184

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 1.359Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.148Z file -1.063 → sim -1.063
    0.007.96
  • SIR 0.797Z file 0.603 → sim 0.603
    0.005.52
  • SIR 0.887Z file 0.063 → sim 0.063
    0.004.79
  • SIR 0.620Z file 0.939 → sim 0.939
    0.003.32
  • SIR 0.438Z file -0.542 → sim -0.542
    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.