HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
MERCYONE DUBUQUE MEDICAL CENTER
IA · Facility ID 160069 · FY2026
Total HAC Score
-0.3947
Percentile
26.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.3947. 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
-0.3947
Δ from file score
+0.0000
File -0.3947
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 1.304Z file 2.206 → sim 2.2060.273.32
- SIR 0.604Z file -0.005 → sim -0.0050.007.96
- SIR 0.000Z file -1.319 → sim -1.3190.005.52
No score impact — already at the measure floor.
- SIR 0.657Z file -0.331 → sim -0.3310.004.79
- SIR 0.000Z file -1.462 → sim -1.4620.003.32
No score impact — already at the measure floor.
- 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.