HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
WYANDOTTE HOSPITAL AND MEDICAL CENTER
MI · Facility ID 230146 · FY2026
Total HAC Score
0.3894
Percentile
75.5th
Displayed status
Payment reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.3894. 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
0.3894
Δ from file score
-0.0000
File 0.3894
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 1.167Z file 1.249 → sim 1.2490.273.32
- SIR 0.759Z file 0.354 → sim 0.3540.007.96
- SIR 0.000Z file -1.319 → sim -1.3190.005.52
No score impact — already at the measure floor.
- SIR 0.617Z file -0.400 → sim -0.4000.004.79
- SIR 0.524Z file 0.567 → sim 0.5670.003.32
- SIR 1.599Z file 1.885 → sim 1.8850.004.41
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.