Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

DELL SETON MED CENTER AT THE UNIVERSITY OF TX

TX · Facility ID 450124 · FY2026

Total HAC Score

0.3109

Percentile

71.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.3109

Hospital score 0.3109. 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

0.3109

Δ from file score

0.0000

File 0.3109

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 0.939Z file -0.344 → sim -0.344
    0.273.32
  • SIR 0.844Z file 0.551 → sim 0.551
    0.007.96
  • SIR 0.333Z file -0.516 → sim -0.516
    0.005.52
  • SIR 0.865Z file 0.025 → sim 0.025
    0.004.79
  • SIR 1.055Z file 2.193 → sim 2.193
    0.003.32

    No score impact — already at the measure cap.

  • SIR 0.676Z file -0.044 → sim -0.044
    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.