Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SSM HEALTH DEPAUL HOSPITAL ST LOUIS

MO · Facility ID 260104 · FY2026

Total HAC Score

-0.5429

Percentile

18.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.5429

Hospital score -0.5429. 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

-0.5429

Δ from file score

+0.0000

File -0.5429

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 0.819Z file -1.180 → sim -1.180
    0.273.32
  • SIR 0.658Z file 0.120 → sim 0.120
    0.007.96
  • SIR 0.000Z file -1.319 → sim -1.319
    0.005.52

    No score impact — already at the measure floor.

  • SIR 0.388Z file -0.792 → sim -0.792
    0.004.79
  • SIR 0.126Z file -0.974 → sim -0.974
    0.003.32
  • SIR 1.122Z file 0.888 → sim 0.888
    0.004.41

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.