Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

GRAND ISLAND REGIONAL MEDICAL CENTER

NE · Facility ID 280139 · FY2026

Total HAC Score

0.6275

Percentile

84.8th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.6275

Hospital score 0.6275. 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

0.6275

Δ from file score

+0.0000

File 0.6275

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 0.844Z file -1.006 → sim -1.006
    0.273.32
  • CLABSIUnreported

    Results are not available for this reporting period.

  • CAUTIUnreported

    Results are not available for this reporting period.

  • SIR 1.941Z file 1.869 → sim 1.869
    0.004.79
  • SIR 0.641Z file 1.020 → sim 1.020
    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.