Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

THE MIRIAM HOSPITAL

RI · Facility ID 410012 · FY2026

Total HAC Score

-0.4093

Percentile

25.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.4093

Hospital score -0.4093. 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

-0.4093

Δ from file score

0.0000

File -0.4093

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 0.798Z file -1.328 → sim -1.328
    0.273.32
  • SIR 0.347Z file -0.602 → sim -0.602
    0.007.96
  • SIR 0.585Z file 0.091 → sim 0.091
    0.005.52
  • SIR 0.556Z file -0.504 → sim -0.504
    0.004.79
  • SIR 0.369Z file -0.033 → sim -0.033
    0.003.32
  • SIR 0.659Z file -0.080 → sim -0.080
    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.