HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
SOUTHEAST IOWA REGIONAL MEDICAL CENTER
IA · Facility ID 160057 · FY2026
Total HAC Score
1.0485
Percentile
94.5th
Displayed status
Payment reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
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
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 2.511 → sim 2.5110.273.32
No score impact — already at the measure cap.
- SIR 1.650Z file 2.240 → sim 2.2400.007.96
No score impact — already at the measure cap.
- SIR 0.398Z file -0.359 → sim -0.3590.005.52
- SIR 2.122Z file 2.172 → sim 2.1720.004.79
No score impact — already at the measure cap.
- SIR 0.426Z file 0.187 → sim 0.1870.003.32
- SIR 0.477Z file -0.460 → sim -0.4600.004.41
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.