Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

CHI HEALTH ST. FRANCIS

NE · Facility ID 280023 · FY2026

Total HAC Score

0.2624

Percentile

68.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.2625

Hospital score 0.2625. 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

0.2625

Δ from file score

+0.0001

File 0.2624

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 0.865Z file -0.861 → sim -0.861
    0.273.32
  • SIR 0.856Z file 0.579 → sim 0.579
    0.007.96
  • SIR 0.333Z file -0.516 → sim -0.516
    0.005.52
  • SIR 3.895Z file 2.172 → sim 2.172
    0.004.79

    No score impact — already at the measure cap.

  • SIR 0.314Z file -0.246 → sim -0.246
    0.003.32
  • SIR 0.911Z file 0.447 → sim 0.447
    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.