Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

BLACK HILLS SURGICAL HOSPITAL LLC

SD · Facility ID 430091 · FY2026

Total HAC Score

-1.4649

Percentile

0.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -1.4649

Hospital score -1.4649. 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

-1.4649

Δ from file score

+0.0000

File -1.4649

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 0.777Z file -1.476 → sim -1.476
    0.273.32
  • CLABSIUnreported

    Results are not available for this reporting period.

  • CAUTIUnreported

    Results are not available for this reporting period.

  • SIR 0.000Z file -1.456 → sim -1.456
    0.004.79

    No score impact — already at the measure floor.

  • SIR 0.000Z file -1.462 → sim -1.462
    0.003.32

    No score impact — already at the measure floor.

  • 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.