Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

GULF COAST MEDICAL CENTER LEE HEALTH

FL · Facility ID 100220 · FY2026

Total HAC Score

-0.2871

Percentile

33.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2871

Hospital score -0.2871. 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

-0.2871

Δ from file score

-0.0000

File -0.2871

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 1.080Z file 0.639 → sim 0.639
    0.273.32
  • SIR 0.529Z file -0.179 → sim -0.179
    0.007.96
  • SIR 0.049Z file -1.200 → sim -1.200
    0.005.52
  • SIR 0.681Z file -0.290 → sim -0.290
    0.004.79
  • SIR 0.301Z file -0.297 → sim -0.297
    0.003.32
  • SIR 0.508Z file -0.396 → sim -0.396
    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.