Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE

NY · Facility ID 330395 · FY2026

Total HAC Score

1.4565

Percentile

97.8th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 1.4565

Hospital score 1.4565. 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

1.4565

Δ from file score

-0.0000

File 1.4565

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 1.283Z file 2.057 → sim 2.057
    0.273.32
  • SIR 3.408Z file 2.240 → sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 1.507Z file 2.314 → sim 2.314
    0.005.52
  • SIR 0.568Z file -0.483 → sim -0.483
    0.004.79
  • SIR 0.758Z file 1.473 → sim 1.473
    0.003.32
  • SIR 1.242Z file 1.138 → sim 1.138
    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.