Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

VIDANT ROANOKE CHOWAN HOSPITAL

NC · Facility ID 340099 · FY2026

Total HAC Score

0.2676

Percentile

68.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.2677

Hospital score 0.2677. 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

0.2677

Δ from file score

+0.0001

File 0.2676

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 1.065Z file 0.537 → sim 0.537
    0.273.32
  • SIR 3.155Z file 2.240 → sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 0.893Z file 0.834 → sim 0.834
    0.005.52
  • SIR 0.743Z file -0.184 → sim -0.184
    0.004.79
  • SIR 0.059Z file -1.234 → sim -1.234
    0.003.32
  • SIR 0.416Z file -0.588 → sim -0.588
    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.