Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

HOLMES REGIONAL MEDICAL CENTER

FL · Facility ID 100019 · FY2026

Total HAC Score

-0.4633

Percentile

22.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.4633

Hospital score -0.4633. 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

-0.4633

Δ from file score

-0.0000

File -0.4633

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 0.856Z file -0.924 → sim -0.924
    0.273.32
  • SIR 0.331Z file -0.639 → sim -0.639
    0.007.96
  • SIR 0.139Z file -0.984 → sim -0.984
    0.005.52
  • SIR 0.754Z file -0.165 → sim -0.165
    0.004.79
  • SIR 0.184Z file -0.750 → sim -0.750
    0.003.32
  • SIR 1.023Z file 0.681 → sim 0.681
    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.