HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
TRINITY REGIONAL MEDICAL CENTER
IA · Facility ID 160016 · FY2026
Total HAC Score
0.8681
Percentile
91.3th
Displayed status
Payment reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.8681. 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
0.8681
Δ from file score
-0.0000
File 0.8681
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 1.462Z file 2.511 → sim 2.5110.273.32
No score impact — already at the measure cap.
- SIR 1.710Z file 2.240 → sim 2.2400.007.96
No score impact — already at the measure cap.
- SIR 1.982Z file 2.386 → sim 2.3860.005.52
No score impact — already at the measure cap.
- SIR 0.644Z file -0.353 → sim -0.3530.004.79
- SIR 0.347Z file -0.119 → sim -0.1190.003.32
- SIR 0.000Z file -1.457 → sim -1.4570.004.41
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.