HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
OCHSNER AMERICAN LEGION HOSPITAL
LA · Facility ID 190053 · FY2026
Total HAC Score
-0.2910
Percentile
33.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.2911. 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
-0.2911
Δ from file score
-0.0001
File -0.2910
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 1.062Z file 0.513 → sim 0.5130.273.32
- SIR 0.000Z file -1.407 → sim -1.4060.007.96
No score impact — already at the measure floor.
- SIR 0.651Z file 0.251 → sim 0.2510.005.52
- SSIUnreported
Results are not available for this reporting period.
- SIR 0.243Z file -0.521 → sim -0.5210.003.32
- 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.