HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
SAINT JOSEPH MEDICAL CENTER
IL · Facility ID 140007 · FY2026
Total HAC Score
1.4383
Percentile
97.7th
Displayed status
Payment reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 1.4383. 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
1.4383
Δ from file score
0.0000
File 1.4383
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 1.380Z file 2.511 → sim 2.5110.273.32
No score impact — already at the measure cap.
- SIR 0.976Z file 0.858 → sim 0.8580.007.96
- SIR 1.600Z file 2.386 → sim 2.3860.005.52
No score impact — already at the measure cap.
- SIR 1.273Z file 0.724 → sim 0.7240.004.79
- SIR 0.693Z file 1.221 → sim 1.2210.003.32
- SIR 1.142Z file 0.929 → sim 0.9290.004.41
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.