HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
HCA HOUSTON HEALTHCARE TOMBALL
TX · Facility ID 450670 · FY2026
Total HAC Score
-0.8703
Percentile
6.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.8703. 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
-0.8703
Δ from file score
0.0000
File -0.8703
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 0.773Z file -1.483 → sim -1.4830.273.32
No score impact — already at the measure floor.
- SIR 0.321Z file -0.662 → sim -0.6620.007.96
- SIR 0.000Z file -1.319 → sim -1.3190.005.52
No score impact — already at the measure floor.
- SIR 0.157Z file -1.188 → sim -1.1880.004.79
- SIR 0.068Z file -1.199 → sim -1.1990.003.32
- SIR 0.998Z file 0.628 → sim 0.6280.004.41
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.