Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

VANDERBILT UNIVERSITY MEDICAL CENTER

TN · Facility ID 440039 · FY2026

Total HAC Score

0.5042

Percentile

80.6th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5042

Hospital score 0.5042. 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

0.5042

Δ from file score

+0.0000

File 0.5042

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 1.141Z file 1.063 → sim 1.063
    0.273.32
  • SIR 0.715Z file 0.252 → sim 0.252
    0.007.96
  • SIR 0.597Z file 0.120 → sim 0.120
    0.005.52
  • SIR 1.354Z file 0.863 → sim 0.863
    0.004.79
  • SIR 0.303Z file -0.289 → sim -0.289
    0.003.32
  • SIR 1.183Z file 1.015 → sim 1.015
    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.