Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER

MD · Facility ID 210057 · FY2026

Total HAC Score

-0.4582

Percentile

22.8th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.4582

Hospital score -0.4582. 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

-0.4582

Δ from file score

-0.0000

File -0.4582

Not penalized (simulated)

Exempt note: Maryland waiver unchanged

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 0.982Z file -0.048 → sim -0.048
    0.273.32
  • SIR 0.560Z file -0.107 → sim -0.107
    0.007.96
  • SIR 0.297Z file -0.603 → sim -0.603
    0.005.52
  • SIR 0.249Z file -1.030 → sim -1.030
    0.004.79
  • SIR 0.307Z file -0.273 → sim -0.273
    0.003.32
  • SIR 0.368Z file -0.688 → sim -0.688
    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.