Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SAINT ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS

NV · Facility ID 290053 · FY2026

Total HAC Score

0.0080

Percentile

53.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.0080

Hospital score 0.0080. 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

0.0080

Δ from file score

-0.0000

File 0.0080

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 1.225Z file 1.650 → sim 1.650
    0.273.32
  • SIR 0.307Z file -0.694 → sim -0.694
    0.007.96
  • SIR 0.206Z file -0.822 → sim -0.822
    0.005.52
  • SIR 1.123Z file 0.467 → sim 0.467
    0.004.79
  • SIR 0.269Z file -0.421 → sim -0.421
    0.003.32
  • SIR 0.634Z file -0.132 → sim -0.132
    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.