Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

ST ELIZABETH YOUNGSTOWN HOSPITAL

OH · Facility ID 360064 · FY2026

Total HAC Score

0.1123

Percentile

59.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1123

Hospital score 0.1123. 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

0.1123

Δ from file score

-0.0000

File 0.1123

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 0.906Z file -0.576 → sim -0.576
    0.273.32
  • SIR 0.685Z file 0.183 → sim 0.183
    0.007.96
  • SIR 0.356Z file -0.461 → sim -0.461
    0.005.52
  • SIR 3.690Z file 2.172 → sim 2.172
    0.004.79

    No score impact — already at the measure cap.

  • SIR 0.214Z file -0.633 → sim -0.633
    0.003.32
  • SIR 0.692Z file -0.011 → sim -0.011
    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.