Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

HCA HOUSTON HEALTHCARE WEST

TX · Facility ID 450644 · FY2026

Total HAC Score

0.0082

Percentile

53.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.0082

Hospital score 0.0082. 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

0.0082

Δ from file score

-0.0000

File 0.0082

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 0.897Z file -0.637 → sim -0.637
    0.273.32
  • SIR 0.519Z file -0.203 → sim -0.203
    0.007.96
  • SIR 0.286Z file -0.629 → sim -0.629
    0.005.52
  • SIR 2.744Z file 2.172 → sim 2.172
    0.004.79

    No score impact — already at the measure cap.

  • SIR 0.130Z file -0.959 → sim -0.959
    0.003.32
  • SIR 0.843Z file 0.304 → sim 0.304
    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.