Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

LEGACY MOUNT HOOD MEDICAL CENTER

OR · Facility ID 380025 · FY2026

Total HAC Score

0.7341

Percentile

88.2th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.7341

Hospital score 0.7341. 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

0.7341

Δ from file score

+0.0000

File 0.7341

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 1.165Z file 1.230 → sim 1.230
    0.273.32
  • SIR 0.814Z file 0.482 → sim 0.482
    0.007.96
  • SIR 2.227Z file 2.386 → sim 2.386
    0.005.52

    No score impact — already at the measure cap.

  • SIR 0.687Z file -0.280 → sim -0.280
    0.004.79
  • SIR 0.344Z file -0.130 → sim -0.130
    0.003.32
  • SIR 1.040Z file 0.716 → sim 0.716
    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.