Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

MCKENZIE-WILLAMETTE MEDICAL CENTER

OR · Facility ID 380020 · FY2026

Total HAC Score

-0.2481

Percentile

35.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2481

Hospital score -0.2481. 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

-0.2481

Δ from file score

-0.0000

File -0.2481

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 0.886Z file -0.712 → sim -0.712
    0.273.32
  • SIR 0.288Z file -0.738 → sim -0.738
    0.007.96
  • SIR 0.280Z file -0.644 → sim -0.644
    0.005.52
  • SIR 0.198Z file -1.117 → sim -1.117
    0.004.79
  • SIR 1.409Z file 2.193 → sim 2.193
    0.003.32

    No score impact — already at the measure cap.

  • SIR 0.472Z file -0.471 → sim -0.471
    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.