Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

WAKEMED, CARY HOSPITAL

NC · Facility ID 340173 · FY2026

Total HAC Score

-0.1307

Percentile

43.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.1306

Hospital score -0.1306. 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

-0.1306

Δ from file score

+0.0001

File -0.1307

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 1.036Z file 0.333 → sim 0.333
    0.273.32
  • SIR 0.775Z file 0.391 → sim 0.391
    0.007.96
  • SIR 0.590Z file 0.104 → sim 0.104
    0.005.52
  • SIR 0.625Z file -0.386 → sim -0.386
    0.004.79
  • SIR 0.194Z file -0.711 → sim -0.711
    0.003.32
  • SIR 0.451Z file -0.515 → sim -0.515
    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.