HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER
MD · Facility ID 210063 · FY2026
Total HAC Score
-0.0806
Percentile
47.5th
Displayed status
Exempt (Maryland)From CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.0806. 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
-0.0806
Δ from file score
-0.0000
File -0.0806
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 0.724Z file -1.483 → sim -1.4830.273.32
No score impact — already at the measure floor.
- SIR 0.731Z file 0.289 → sim 0.2890.007.96
- SIR 1.363Z file 1.967 → sim 1.9670.005.52
- SIR 0.858Z file 0.013 → sim 0.0130.004.79
- SIR 0.426Z file 0.187 → sim 0.1870.003.32
- SIR 0.000Z file -1.457 → sim -1.4570.004.41
No score impact — already at the measure floor.
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.