Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER

SD · Facility ID 430016 · FY2026

Total HAC Score

0.3618

Percentile

74.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.3618

Hospital score 0.3618. 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

0.3618

Δ from file score

+0.0000

File 0.3618

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 1.044Z file 0.386 → sim 0.386
    0.273.32
  • SIR 1.298Z file 1.605 → sim 1.605
    0.007.96
  • SIR 0.601Z file 0.130 → sim 0.130
    0.005.52
  • SIR 0.666Z file -0.316 → sim -0.316
    0.004.79
  • SIR 0.544Z file 0.644 → sim 0.644
    0.003.32
  • SIR 0.564Z file -0.279 → sim -0.279
    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.