Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

PHELPS COUNTY REGIONAL MEDICAL CENTER

MO · Facility ID 260017 · FY2026

Total HAC Score

0.1753

Percentile

63.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1753

Hospital score 0.1753. 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

0.1753

Δ from file score

-0.0000

File 0.1753

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 0.894Z file -0.657 → sim -0.657
    0.273.32
  • SIR 0.715Z file 0.252 → sim 0.252
    0.007.96
  • SIR 0.137Z file -0.988 → sim -0.988
    0.005.52
  • SIR 1.118Z file 0.459 → sim 0.459
    0.004.79
  • SIR 0.316Z file -0.239 → sim -0.239
    0.003.32
  • SIR 2.128Z file 2.225 → sim 2.225
    0.004.41

    No score impact — already at the measure cap.

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.