Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

NORTH HAWAII COMMUNITY HOSPITAL, INC

HI · Facility ID 120028 · FY2026

Total HAC Score

1.7593

Percentile

98.5th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 1.7594

Hospital score 1.7594. 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

1.7594

Δ from file score

+0.0001

File 1.7593

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 0.961Z file -0.195sim -0.195
    0.273.32
  • SIR 2.151Z file 2.240sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 2.836Z file 2.386sim 2.386
    0.005.52

    No score impact — already at the measure cap.

  • SIR 2.455Z file 2.172sim 2.172
    0.004.79

    No score impact — already at the measure cap.

  • SIR 1.808Z file 2.193sim 2.193
    0.003.32

    No score impact — already at the measure cap.

  • MRSAUnreported

    Results are not available for this reporting period.

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.