Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

HCA HOUSTON HEALTHCARE NORTHWEST

TX · Facility ID 450638 · FY2026

Total HAC Score

-0.2277

Percentile

36.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2277

Hospital score -0.2277. 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

-0.2277

Δ from file score

0.0000

File -0.2277

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 1.146Z file 1.099 → sim 1.099
    0.273.32
  • SIR 0.494Z file -0.261 → sim -0.261
    0.007.96
  • SIR 0.477Z file -0.169 → sim -0.169
    0.005.52
  • SIR 0.863Z file 0.022 → sim 0.022
    0.004.79
  • SIR 0.032Z file -1.338 → sim -1.338
    0.003.32
  • SIR 0.353Z file -0.720 → sim -0.720
    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.