Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

RHODE ISLAND HOSPITAL

RI · Facility ID 410007 · FY2026

Total HAC Score

-0.0612

Percentile

48.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0613

Hospital score -0.0613. 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

-0.0613

Δ from file score

-0.0001

File -0.0612

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 0.761Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 0.953Z file 0.804 → sim 0.804
    0.007.96
  • SIR 0.738Z file 0.460 → sim 0.460
    0.005.52
  • SIR 0.915Z file 0.111 → sim 0.111
    0.004.79
  • SIR 0.301Z file -0.297 → sim -0.297
    0.003.32
  • SIR 0.715Z file 0.037 → sim 0.037
    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.