Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

CULLMAN REGIONAL MEDICAL CENTER

AL · Facility ID 010035 · FY2026

Total HAC Score

-0.0208

Percentile

51.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0208

Hospital score -0.0208. 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

-0.0208

Δ from file score

+0.0000

File -0.0208

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 1.080Z file 0.639 → sim 0.639
    0.273.32
  • SIR 0.364Z file -0.562 → sim -0.562
    0.007.96
  • SIR 0.685Z file 0.333 → sim 0.333
    0.005.52
  • SIR 0.475Z file -0.643 → sim -0.643
    0.004.79
  • SIR 0.415Z file 0.145 → sim 0.145
    0.003.32
  • SIR 0.680Z file -0.036 → sim -0.036
    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.