Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE

TX · Facility ID 670060 · FY2026

Total HAC Score

-0.2122

Percentile

37.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2121

Hospital score -0.2121. 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

-0.2121

Δ from file score

+0.0001

File -0.2122

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 0.868Z file -0.844 → sim -0.844
    0.273.32
  • SIR 0.834Z file 0.528 → sim 0.528
    0.007.96
  • SIR 0.619Z file 0.173 → sim 0.173
    0.005.52
  • SIR 0.312Z file -0.922 → sim -0.922
    0.004.79
  • SIR 0.700Z file 1.248 → sim 1.248
    0.003.32
  • SIR 0.000Z file -1.457 → sim -1.457
    0.004.41

    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.