Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MERCYONE WATERLOO MEDICAL CENTER

IA · Facility ID 160067 · FY2026

Total HAC Score

0.1145

Percentile

60.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1145

Hospital score 0.1145. 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

0.1145

Δ from file score

+0.0000

File 0.1145

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 0.979Z file -0.065 → sim -0.065
    0.273.32
  • SIR 0.837Z file 0.535 → sim 0.535
    0.007.96
  • SIR 0.075Z file -1.138 → sim -1.138
    0.005.52
  • SIR 1.152Z file 0.517 → sim 0.517
    0.004.79
  • SIR 0.742Z file 1.411 → sim 1.411
    0.003.32
  • SIR 0.423Z file -0.573 → sim -0.573
    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.