HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
COLUMBIA MEMORIAL HOSPITAL
NY · Facility ID 330094 · FY2026
Total HAC Score
1.6329
Percentile
98.3th
Displayed status
Payment reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 1.6329. 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
1.6329
Δ from file score
-0.0000
File 1.6329
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 2.198Z file 2.511 → sim 2.5110.273.32
No score impact — already at the measure cap.
- SIR 0.868Z file 0.607 → sim 0.6070.007.96
- SIR 1.317Z file 1.856 → sim 1.8560.005.52
- SIR 1.111Z file 0.447 → sim 0.4470.004.79
- SIR 1.091Z file 2.193 → sim 2.1930.003.32
No score impact — already at the measure cap.
- SIR 1.742Z file 2.183 → sim 2.1830.004.41
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.