HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
CAPITAL MEDICAL CENTER
WA · Facility ID 500139 · FY2026
Total HAC Score
-0.1015
Percentile
45.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.1015. 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
-0.1015
Δ from file score
-0.0000
File -0.1015
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 1.292Z file 2.119 → sim 2.1190.273.32
- SIR 0.327Z file -0.648 → sim -0.6480.007.96
- SIR 0.215Z file -0.800 → sim -0.8000.005.52
- SIR 0.476Z file -0.641 → sim -0.6410.004.79
- SIR 0.589Z file 0.819 → sim 0.8190.003.32
- SIR 0.000Z file -1.457 → sim -1.4570.004.41
No score impact — already at the measure floor.
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.