HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
MERCY HEALTH - LOURDES HOSPITAL
KY · Facility ID 180102 · FY2026
Total HAC Score
0.1966
Percentile
64.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.1966. 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
0.1966
Δ from file score
+0.0000
File 0.1966
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 0.764Z file -1.483 → sim -1.4830.273.32
No score impact — already at the measure floor.
- SIR 1.013Z file 0.944 → sim 0.9440.007.96
- SIR 0.622Z file 0.181 → sim 0.1810.005.52
- SIR 0.754Z file -0.165 → sim -0.1650.004.79
- SIR 0.243Z file -0.521 → sim -0.5210.003.32
- SIR 1.774Z file 2.225 → sim 2.2250.004.41
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.