Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

BARNES-JEWISH WEST COUNTY HOSPITAL

MO · Facility ID 260162 · FY2026

Total HAC Score

-0.6126

Percentile

15.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.6126

Hospital score -0.6126. 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

-0.6126

Δ from file score

+0.0000

File -0.6126

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 0.779Z file -1.465 → sim -1.465
    0.273.32
  • SIR 0.721Z file 0.266 → sim 0.266
    0.007.96
  • SIR 0.270Z file -0.668 → sim -0.668
    0.005.52
  • SIR 0.673Z file -0.304 → sim -0.304
    0.004.79
  • SIR 0.147Z file -0.893 → sim -0.893
    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.