HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
ONSLOW MEMORIAL HOSPITAL
NC · Facility ID 340042 · FY2026
Total HAC Score
0.1833
Percentile
63.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.1833. 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
0.1833
Δ from file score
+0.0000
File 0.1833
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 1.188Z file 1.391 → sim 1.3910.273.32
- SIR 0.884Z file 0.644 → sim 0.6440.007.96
- SIR 0.000Z file -1.319 → sim -1.3190.005.52
No score impact — already at the measure floor.
- SIR 0.000Z file -1.456 → sim -1.4560.004.79
No score impact — already at the measure floor.
- SIR 0.278Z file -0.386 → sim -0.3860.003.32
- SIR 3.290Z file 2.225 → sim 2.2250.004.41
No score impact — already at the measure cap.
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.