Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

AVERA ST MARY'S HOSPITAL

SD · Facility ID 430015 · FY2026

Total HAC Score

1.6685

Percentile

98.4th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 1.6685

Hospital score 1.6685. 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

1.6685

Δ from file score

-0.0000

File 1.6685

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 1.070Z file 0.569 → sim 0.569
    0.273.32
  • CLABSIUnreported

    Results are not available for this reporting period.

  • SIR 1.978Z file 2.386 → sim 2.386
    0.005.52

    No score impact — already at the measure cap.

  • SSIUnreported

    Results are not available for this reporting period.

  • SIR 0.907Z file 2.050 → sim 2.050
    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.