HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
GUTHRIE CORTLAND REGIONAL MEDICAL CENTER
NY · Facility ID 330175 · FY2026
Total HAC Score
-0.1787
Percentile
40.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.1787. 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
-0.1787
Δ from file score
+0.0000
File -0.1787
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 0.924Z file -0.447 → sim -0.4470.273.32
- SIR 0.000Z file -1.407 → sim -1.4060.007.96
No score impact — already at the measure floor.
- SIR 0.000Z file -1.319 → sim -1.3190.005.52
No score impact — already at the measure floor.
- SIR 1.821Z file 1.663 → sim 1.6630.004.79
- SIR 0.197Z file -0.699 → sim -0.6990.003.32
- SIR 1.241Z file 1.136 → sim 1.1360.004.41
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.