Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

CRESTWOOD MEDICAL CENTER

AL · Facility ID 010131 · FY2026

Total HAC Score

0.3156

Percentile

71.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.3156

Hospital score 0.3156. 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

0.3156

Δ from file score

-0.0000

File 0.3156

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 0.945Z file -0.307 → sim -0.307
    0.273.32
  • SIR 2.252Z file 2.240 → sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 0.335Z file -0.511 → sim -0.511
    0.005.52
  • SIR 0.703Z file -0.252 → sim -0.252
    0.004.79
  • SIR 0.291Z file -0.335 → sim -0.335
    0.003.32
  • SIR 1.204Z file 1.059 → sim 1.059
    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.