Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MIDDLESBORO ARH HOSPITAL

KY · Facility ID 180020 · FY2026

Total HAC Score

0.1133

Percentile

59.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1133

Hospital score 0.1133. 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

0.1133

Δ from file score

+0.0000

File 0.1133

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 0.973Z file -0.111 → sim -0.111
    0.273.32
  • CLABSIUnreported

    Results are not available for this reporting period.

  • SIR 0.973Z file 1.027 → sim 1.027
    0.005.52
  • SSIUnreported

    Results are not available for this reporting period.

  • SIR 0.229Z file -0.576 → sim -0.576
    0.003.32
  • MRSAUnreported

    Results are not available for this reporting period.

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.