Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SANFORD MEDICAL CENTER BISMARCK

ND · Facility ID 350015 · FY2026

Total HAC Score

-0.1685

Percentile

41.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.1685

Hospital score -0.1685. 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

-0.1685

Δ from file score

+0.0000

File -0.1685

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 1.066Z file 0.539 → sim 0.539
    0.273.32
  • SIR 0.183Z file -0.982 → sim -0.982
    0.007.96
  • SIR 0.481Z file -0.159 → sim -0.159
    0.005.52
  • SIR 0.797Z file -0.091 → sim -0.091
    0.004.79
  • SIR 0.354Z file -0.091 → sim -0.091
    0.003.32
  • SIR 0.589Z file -0.226 → sim -0.226
    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.