Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

WASHINGTON REGIONAL MEDICAL CENTER

AR · Facility ID 040004 · FY2026

Total HAC Score

-0.2427

Percentile

36.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2427

Hospital score -0.2427. 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

-0.2427

Δ from file score

-0.0000

File -0.2427

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 0.721Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 0.704Z file 0.227 → sim 0.227
    0.007.96
  • SIR 0.306Z file -0.581 → sim -0.581
    0.005.52
  • SIR 0.908Z file 0.099 → sim 0.099
    0.004.79
  • SIR 0.366Z file -0.045 → sim -0.045
    0.003.32
  • SIR 0.854Z file 0.328 → sim 0.328
    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.