Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

WELLSTAR SPALDING MEDICAL CENTER

GA · Facility ID 110031 · FY2026

Total HAC Score

0.1281

Percentile

60.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1280

Hospital score 0.1280. 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

0.1280

Δ from file score

-0.0000

File 0.1281

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 0.975Z file -0.097 → sim -0.097
    0.273.32
  • SIR 0.409Z file -0.458 → sim -0.458
    0.007.96
  • SIR 0.479Z file -0.164 → sim -0.164
    0.005.52
  • SIR 0.866Z file 0.027 → sim 0.027
    0.004.79
  • SIR 0.180Z file -0.765 → sim -0.765
    0.003.32
  • SIR 1.763Z file 2.225 → sim 2.225
    0.004.41

    No score impact — already at the measure cap.

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.