Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

KING'S DAUGHTERS' MEDICAL CENTER

KY · Facility ID 180009 · FY2026

Total HAC Score

0.5316

Percentile

81.5th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5316

Hospital score 0.5316. 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

0.5316

Δ from file score

-0.0000

File 0.5316

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 1.135Z file 1.021 → sim 1.021
    0.273.32
  • SIR 0.835Z file 0.530 → sim 0.530
    0.007.96
  • SIR 0.648Z file 0.243 → sim 0.243
    0.005.52
  • SIR 1.342Z file 0.842 → sim 0.842
    0.004.79
  • SIR 0.483Z file 0.408 → sim 0.408
    0.003.32
  • SIR 0.766Z file 0.144 → sim 0.144
    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.