Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

MID-COLUMBIA MEDICAL CENTER

OR · Facility ID 380001 · FY2026

Total HAC Score

-0.6133

Percentile

15.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.6133

Hospital score -0.6133. 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

-0.6133

Δ from file score

0.0000

File -0.6133

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 0.875Z file -0.792 → sim -0.792
    0.273.32
  • CLABSIUnreported

    Results are not available for this reporting period.

  • CAUTIUnreported

    Results are not available for this reporting period.

  • SIR 0.667Z file -0.314 → sim -0.314
    0.004.79
  • SIR 0.188Z file -0.734 → sim -0.734
    0.003.32
  • MRSAUnreported

    Results are not available for this reporting period.

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.