Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

ST CLAIRE REGIONAL MEDICAL CENTER

KY · Facility ID 180018 · FY2026

Total HAC Score

0.0396

Percentile

55.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.0396

Hospital score 0.0396. 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

0.0396

Δ from file score

+0.0000

File 0.0396

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 1.067Z file 0.549 → sim 0.549
    0.273.32
  • SIR 1.101Z file 1.148 → sim 1.148
    0.007.96
  • SIR 0.416Z file -0.316 → sim -0.316
    0.005.52
  • SIR 1.017Z file 0.286 → sim 0.286
    0.004.79
  • SIR 0.385Z file 0.029 → sim 0.029
    0.003.32
  • SIR 0.000Z file -1.457 → sim -1.457
    0.004.41

    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.