Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SAINT MARY'S REGIONAL MEDICAL CENTER

NV · Facility ID 290009 · FY2026

Total HAC Score

-0.3558

Percentile

28.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3558

Hospital score -0.3558. 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

-0.3558

Δ from file score

-0.0000

File -0.3558

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 0.812Z file -1.231 → sim -1.231
    0.273.32
  • SIR 0.896Z file 0.672 → sim 0.672
    0.007.96
  • SIR 0.239Z file -0.743 → sim -0.743
    0.005.52
  • SIR 0.971Z file 0.207 → sim 0.207
    0.004.79
  • SIR 0.311Z file -0.258 → sim -0.258
    0.003.32
  • SIR 0.323Z file -0.782 → sim -0.782
    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.