Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER

NC · Facility ID 340053 · FY2026

Total HAC Score

-0.2387

Percentile

36.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2387

Hospital score -0.2387. 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

-0.2387

Δ from file score

+0.0000

File -0.2387

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 0.689Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 0.910Z file 0.705 → sim 0.705
    0.007.96
  • SIR 0.683Z file 0.328 → sim 0.328
    0.005.52
  • SIR 1.023Z file 0.296 → sim 0.296
    0.004.79
  • SIR 0.143Z file -0.908 → sim -0.908
    0.003.32
  • SIR 0.521Z file -0.368 → sim -0.368
    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.