Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

HOWARD UNIVERSITY HOSPITAL CORP

DC · Facility ID 090003 · FY2026

Total HAC Score

0.5994

Percentile

83.8th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5994

Hospital score 0.5994. 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

0.5994

Δ from file score

+0.0000

File 0.5994

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 1.636Z file 2.511sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.553Z file -0.124sim -0.124
    0.007.96
  • SIR 0.732Z file 0.446sim 0.446
    0.005.52
  • SIR 0.000Z file -1.456sim -1.456
    0.004.79

    No score impact — already at the measure floor.

  • SIR 0.706Z file 1.272sim 1.272
    0.003.32
  • SIR 1.151Z file 0.948sim 0.948
    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.