Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

FORT SANDERS REGIONAL MEDICAL CENTER

TN · Facility ID 440125 · FY2026

Total HAC Score

-0.6629

Percentile

13.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.6629

Hospital score -0.6629. 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

-0.6629

Δ from file score

-0.0000

File -0.6629

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 0.770Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 0.486Z file -0.279 → sim -0.279
    0.007.96
  • SIR 0.513Z file -0.082 → sim -0.082
    0.005.52
  • SIR 0.316Z file -0.915 → sim -0.915
    0.004.79
  • SIR 0.100Z file -1.075 → sim -1.075
    0.003.32
  • SIR 0.629Z file -0.143 → sim -0.143
    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.