Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

HARLAN ARH HOSPITAL

KY · Facility ID 180050 · FY2026

Total HAC Score

0.5562

Percentile

82.4th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5562

Hospital score 0.5562. 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

0.5562

Δ from file score

-0.0000

File 0.5562

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 0.966Z file -0.157 → sim -0.157
    0.273.32
  • SIR 3.145Z file 2.240 → sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 0.430Z file -0.282 → sim -0.282
    0.005.52
  • SSIUnreported

    Results are not available for this reporting period.

  • SIR 0.512Z file 0.520 → sim 0.520
    0.003.32
  • SIR 0.917Z file 0.459 → sim 0.459
    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.