Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

DUKE REGIONAL HOSPITAL

NC · Facility ID 340155 · FY2026

Total HAC Score

-0.3071

Percentile

31.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3071

Hospital score -0.3071. 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

-0.3071

Δ from file score

-0.0000

File -0.3071

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 0.982Z file -0.042 → sim -0.042
    0.273.32
  • SIR 0.739Z file 0.308 → sim 0.308
    0.007.96
  • SIR 0.445Z file -0.246 → sim -0.246
    0.005.52
  • SIR 0.369Z file -0.824 → sim -0.824
    0.004.79
  • SIR 0.175Z file -0.784 → sim -0.785
    0.003.32
  • SIR 0.576Z file -0.254 → sim -0.254
    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.