Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

ST JOSEPH REGIONAL MEDICAL CENTER

ID · Facility ID 130003 · FY2026

Total HAC Score

0.0669

Percentile

57.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.0669

Hospital score 0.0669. 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

0.0669

Δ from file score

+0.0000

File 0.0669

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 0.918Z file -0.493 → sim -0.493
    0.273.32
  • SIR 0.864Z file 0.598 → sim 0.598
    0.007.96
  • SIR 1.040Z file 1.188 → sim 1.188
    0.005.52
  • SIR 1.548Z file 1.195 → sim 1.195
    0.004.79
  • SIR 0.215Z file -0.630 → sim -0.630
    0.003.32
  • SIR 0.000Z file -1.457 → sim -1.457
    0.004.41

    No score impact — already at the measure floor.

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.