Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

NORTHERN LOUISIANA MEDICAL CENTER

LA · Facility ID 190086 · FY2026

Total HAC Score

0.0432

Percentile

55.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.0432

Hospital score 0.0432. 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

0.0432

Δ from file score

-0.0000

File 0.0432

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 1.032Z file 0.305 → sim 0.305
    0.273.32
  • SIR 2.430Z file 2.240 → sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 0.613Z file 0.159 → sim 0.159
    0.005.52
  • SIR 0.000Z file -1.456 → sim -1.456
    0.004.79

    No score impact — already at the measure floor.

  • SIR 0.111Z file -1.032 → sim -1.032
    0.003.32
  • 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.