Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

TRISTAR SKYLINE MEDICAL CENTER

TN · Facility ID 440006 · FY2026

Total HAC Score

-0.2761

Percentile

33.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2762

Hospital score -0.2762. 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

-0.2762

Δ from file score

-0.0001

File -0.2761

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 0.928Z file -0.423 → sim -0.423
    0.273.32
  • SIR 0.647Z file 0.094 → sim 0.094
    0.007.96
  • SIR 0.346Z file -0.485 → sim -0.485
    0.005.52
  • SIR 0.454Z file -0.679 → sim -0.679
    0.004.79
  • SIR 0.171Z file -0.800 → sim -0.800
    0.003.32
  • SIR 1.001Z file 0.635 → sim 0.635
    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.