Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

ST JOHNS HOSPITAL

IL · Facility ID 140053 · FY2026

Total HAC Score

0.1648

Percentile

62.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1648

Hospital score 0.1648. 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

0.1648

Δ from file score

+0.0000

File 0.1648

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 1.537Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.462Z file -0.335 → sim -0.335
    0.007.96
  • SIR 0.330Z file -0.523 → sim -0.523
    0.005.52
  • SIR 0.787Z file -0.108 → sim -0.108
    0.004.79
  • SIR 0.307Z file -0.273 → sim -0.273
    0.003.32
  • SIR 0.562Z file -0.283 → sim -0.283
    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.