Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

MONUMENT HEALTH RAPID CITY HOSPITAL

SD · Facility ID 430077 · FY2026

Total HAC Score

0.0475

Percentile

55.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.0475

Hospital score 0.0475. 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

0.0475

Δ from file score

-0.0000

File 0.0475

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 1.157Z file 1.180 → sim 1.180
    0.273.32
  • SIR 0.155Z file -1.047 → sim -1.047
    0.007.96
  • SIR 0.877Z file 0.795 → sim 0.795
    0.005.52
  • SIR 0.547Z file -0.519 → sim -0.519
    0.004.79
  • SIR 0.424Z file 0.180 → sim 0.180
    0.003.32
  • SIR 0.552Z file -0.304 → sim -0.304
    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.