Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

PORTSMOUTH REGIONAL HOSPITAL

NH · Facility ID 300029 · FY2026

Total HAC Score

-0.6976

Percentile

12.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.6976

Hospital score -0.6976. 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

-0.6976

Δ from file score

+0.0000

File -0.6976

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 0.939Z file -0.348 → sim -0.348
    0.273.32
  • SIR 0.341Z file -0.615 → sim -0.615
    0.007.96
  • SIR 0.567Z file 0.048 → sim 0.048
    0.005.52
  • SIR 0.250Z file -1.028 → sim -1.028
    0.004.79
  • SIR 0.175Z file -0.784 → sim -0.785
    0.003.32
  • SIR 0.000Z file -1.457 → sim -1.457
    0.004.41

    No score impact — already at the measure floor.

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.