Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

TRISTAR SUMMIT MEDICAL CENTER

TN · Facility ID 440150 · FY2026

Total HAC Score

-0.4757

Percentile

21.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.4756

Hospital score -0.4756. 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

-0.4756

Δ from file score

+0.0001

File -0.4757

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 0.943Z file -0.320 → sim -0.320
    0.273.32
  • SIR 0.134Z file -1.096 → sim -1.096
    0.007.96
  • SIR 0.000Z file -1.319 → sim -1.319
    0.005.52

    No score impact — already at the measure floor.

  • SIR 1.453Z file 1.032 → sim 1.032
    0.004.79
  • SIR 0.192Z file -0.719 → sim -0.719
    0.003.32
  • SIR 0.490Z file -0.433 → sim -0.433
    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.