Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

ST DAVID'S SOUTH AUSTIN MEDICAL CENTER

TX · Facility ID 450713 · FY2026

Total HAC Score

-0.1688

Percentile

41.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.1687

Hospital score -0.1687. 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

-0.1687

Δ from file score

+0.0001

File -0.1688

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 0.993Z file 0.029 → sim 0.029
    0.273.32
  • SIR 0.708Z file 0.236 → sim 0.236
    0.007.96
  • SIR 0.161Z file -0.930 → sim -0.930
    0.005.52
  • SIR 0.790Z file -0.103 → sim -0.103
    0.004.79
  • SIR 0.167Z file -0.816 → sim -0.816
    0.003.32
  • SIR 0.971Z file 0.572 → sim 0.572
    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.