Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

SAINT JOSEPH LONDON

KY · Facility ID 180011 · FY2026

Total HAC Score

-0.3937

Percentile

26.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3937

Hospital score -0.3937. 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

-0.3937

Δ from file score

+0.0000

File -0.3937

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 1.109Z file 0.838 → sim 0.838
    0.273.32
  • SIR 0.000Z file -1.407 → sim -1.406
    0.007.96

    No score impact — already at the measure floor.

  • SIR 0.377Z file -0.410 → sim -0.410
    0.005.52
  • SIR 0.609Z file -0.413 → sim -0.413
    0.004.79
  • SIR 0.139Z file -0.924 → sim -0.924
    0.003.32
  • SIR 0.675Z file -0.047 → sim -0.047
    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.