Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MYMICHIGAN MEDICAL CENTER ALMA

MI · Facility ID 230030 · FY2026

Total HAC Score

-0.6373

Percentile

14.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.6373

Hospital score -0.6373. 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

-0.6373

Δ from file score

-0.0000

File -0.6373

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 0.887Z file -0.710 → sim -0.710
    0.273.32
  • SIR 0.807Z file 0.466 → sim 0.466
    0.007.96
  • SIR 0.000Z file -1.319 → sim -1.319
    0.005.52

    No score impact — already at the measure floor.

  • SIR 0.358Z file -0.843 → sim -0.843
    0.004.79
  • SIR 0.176Z file -0.781 → sim -0.781
    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.