Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SIBLEY MEMORIAL HOSPITAL

DC · Facility ID 090005 · FY2026

Total HAC Score

0.0558

Percentile

56.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.0558

Hospital score 0.0558. 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

0.0558

Δ from file score

-0.0000

File 0.0558

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 0.681Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 1.009Z file 0.934 → sim 0.934
    0.007.96
  • SIR 0.525Z file -0.053 → sim -0.053
    0.005.52
  • SIR 1.210Z file 0.616 → sim 0.616
    0.004.79
  • SIR 0.473Z file 0.369 → sim 0.369
    0.003.32
  • SIR 0.674Z file -0.049 → sim -0.049
    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.