HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
ST JOE MERCY HOSPITAL SYSTEM LIVONIA
MI · Facility ID 230002 · FY2026
Total HAC Score
0.7145
Percentile
87.8th
Displayed status
Payment reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.7145. 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
0.7145
Δ from file score
+0.0000
File 0.7145
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 -0.043 → sim -0.0430.273.32
- SIR 1.006Z file 0.927 → sim 0.9270.007.96
- SIR 0.657Z file 0.265 → sim 0.2650.005.52
- SIR 1.353Z file 0.861 → sim 0.8610.004.79
- SIR 0.867Z file 1.895 → sim 1.8950.003.32
- SIR 0.880Z file 0.382 → sim 0.3820.004.41
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.