Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

MERCYONE NORTH IOWA MEDICAL CENTER

IA · Facility ID 160064 · FY2026

Total HAC Score

-0.3912

Percentile

26.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3912

Hospital score -0.3912. 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

-0.3912

Δ from file score

-0.0000

File -0.3912

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 0.996Z file 0.055 → sim 0.055
    0.273.32
  • SIR 0.463Z file -0.332 → sim -0.332
    0.007.96
  • SIR 0.600Z file 0.128 → sim 0.128
    0.005.52
  • SIR 0.396Z file -0.778 → sim -0.778
    0.004.79
  • SIR 0.192Z file -0.719 → sim -0.719
    0.003.32
  • SIR 0.362Z file -0.701 → sim -0.701
    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.