Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

TERREBONNE GENERAL MEDICAL CENTER - PARISH

LA · Facility ID 190008 · FY2026

Total HAC Score

-0.3349

Percentile

30.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3350

Hospital score -0.3350. 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

-0.3350

Δ from file score

-0.0001

File -0.3349

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 0.689Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 0.137Z file -1.089 → sim -1.089
    0.007.96
  • SIR 0.348Z file -0.480 → sim -0.480
    0.005.52
  • SIR 0.195Z file -1.122 → sim -1.122
    0.004.79
  • SIR 0.362Z file -0.060 → sim -0.060
    0.003.32
  • SIR 2.511Z 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.