Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

CHRISTUS SANTA ROSA MEDICAL CENTER

TX · Facility ID 450237 · FY2026

Total HAC Score

0.3349

Percentile

72.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.3349

Hospital score 0.3349. 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

0.3349

Δ from file score

+0.0000

File 0.3349

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 1.353Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.699Z file 0.215 → sim 0.215
    0.007.96
  • SIR 0.634Z file 0.210 → sim 0.210
    0.005.52
  • SIR 0.836Z file -0.024 → sim -0.024
    0.004.79
  • SIR 0.140Z file -0.920 → sim -0.920
    0.003.32
  • SIR 0.706Z file 0.018 → sim 0.018
    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.