Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SANFORD USD MEDICAL CENTER

SD · Facility ID 430027 · FY2026

Total HAC Score

-0.2461

Percentile

35.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2462

Hospital score -0.2462. 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

-0.2462

Δ from file score

-0.0000

File -0.2461

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 0.641Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 0.360Z file -0.571 → sim -0.571
    0.007.96
  • SIR 0.631Z file 0.202 → sim 0.202
    0.005.52
  • SIR 1.079Z file 0.392 → sim 0.392
    0.004.79
  • SIR 0.441Z file 0.245 → sim 0.245
    0.003.32
  • SIR 0.572Z file -0.262 → sim -0.262
    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.