Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SOUTHEAST IOWA REGIONAL MEDICAL CENTER

IA · Facility ID 160057 · FY2026

Total HAC Score

1.0485

Percentile

94.5th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 1.0485

Hospital score 1.0485. 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

1.0485

Δ from file score

-0.0000

File 1.0485

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 1.538Z file 2.511sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 1.650Z file 2.240sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 0.398Z file -0.359sim -0.359
    0.005.52
  • SIR 2.122Z file 2.172sim 2.172
    0.004.79

    No score impact — already at the measure cap.

  • SIR 0.426Z file 0.187sim 0.187
    0.003.32
  • SIR 0.477Z file -0.460sim -0.460
    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.