Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

METRO NASHVILLE GENERAL HOSPITAL

TN · Facility ID 440111 · FY2026

Total HAC Score

-0.0818

Percentile

47.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0818

Hospital score -0.0818. 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

-0.0818

Δ from file score

+0.0000

File -0.0818

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 0.986Z file -0.018 → sim -0.018
    0.273.32
  • SIR 0.464Z file -0.330 → sim -0.330
    0.007.96
  • SIR 0.570Z file 0.055 → sim 0.055
    0.005.52
  • SIR 0.923Z file 0.125 → sim 0.125
    0.004.79
  • SIR 0.356Z file -0.084 → sim -0.084
    0.003.32
  • SIR 0.583Z file -0.239 → sim -0.239
    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.