Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

HCA FLORIDA NORTHSIDE HOSPITAL

FL · Facility ID 100238 · FY2026

Total HAC Score

0.3200

Percentile

71.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.3200

Hospital score 0.3200. 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

0.3200

Δ from file score

-0.0000

File 0.3200

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 1.127Z file 0.966 → sim 0.966
    0.273.32
  • SIR 0.584Z file -0.052 → sim -0.052
    0.007.96
  • SIR 0.266Z file -0.677 → sim -0.677
    0.005.52
  • SIR 2.521Z file 2.172 → sim 2.172
    0.004.79

    No score impact — already at the measure cap.

  • SIR 0.163Z file -0.831 → sim -0.831
    0.003.32
  • SIR 0.861Z file 0.342 → sim 0.342
    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.