Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

ST DAVID'S MEDICAL CENTER

TX · Facility ID 450431 · FY2026

Total HAC Score

0.1673

Percentile

62.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1673

Hospital score 0.1673. 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

0.1673

Δ from file score

-0.0000

File 0.1673

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 1.069Z file 0.561 → sim 0.561
    0.273.32
  • SIR 0.663Z file 0.132 → sim 0.132
    0.007.96
  • SIR 0.546Z file -0.003 → sim -0.003
    0.005.52
  • SIR 1.261Z file 0.704 → sim 0.704
    0.004.79
  • SIR 0.242Z file -0.525 → sim -0.525
    0.003.32
  • SIR 0.762Z file 0.135 → sim 0.135
    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.