Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

COMANCHE COUNTY MEMORIAL HOSPITAL

OK · Facility ID 370056 · FY2026

Total HAC Score

1.0590

Percentile

94.9th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 1.0591

Hospital score 1.0591. 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

1.0591

Δ from file score

+0.0001

File 1.0590

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 1.131Z file 0.997 → sim 0.997
    0.273.32
  • SIR 2.618Z file 2.240 → sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 0.906Z file 0.865 → sim 0.865
    0.005.52
  • SIR 1.410Z file 0.959 → sim 0.959
    0.004.79
  • SIR 0.221Z file -0.606 → sim -0.606
    0.003.32
  • SIR 1.606Z file 1.899 → sim 1.899
    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.