Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER

KY · Facility ID 180048 · FY2026

Total HAC Score

0.3383

Percentile

72.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.3383

Hospital score 0.3383. 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

0.3383

Δ from file score

+0.0000

File 0.3383

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 0.946Z file -0.295 → sim -0.295
    0.273.32
  • SIR 0.860Z file 0.589 → sim 0.589
    0.007.96
  • SIR 0.120Z file -1.029 → sim -1.029
    0.005.52
  • SIR 0.914Z file 0.109 → sim 0.109
    0.004.79
  • SIR 0.489Z file 0.431 → sim 0.431
    0.003.32
  • SIR 2.498Z file 2.225 → sim 2.225
    0.004.41

    No score impact — already at the measure cap.

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.