Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

CLEVELAND CLINIC AVON HOSPITAL

OH · Facility ID 360364 · FY2026

Total HAC Score

-0.1826

Percentile

40.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.1826

Hospital score -0.1826. 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

-0.1826

Δ from file score

+0.0000

File -0.1826

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 0.902Z file -0.602 → sim -0.602
    0.273.32
  • SIR 0.000Z file -1.407 → sim -1.406
    0.007.96

    No score impact — already at the measure floor.

  • SIR 0.531Z file -0.039 → sim -0.039
    0.005.52
  • SIR 1.356Z file 0.866 → sim 0.866
    0.004.79
  • SIR 0.350Z file -0.107 → sim -0.107
    0.003.32
  • SIR 0.789Z file 0.192 → sim 0.192
    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.