Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

TRISTAR HENDERSONVILLE MEDICAL CENTER

TN · Facility ID 440194 · FY2026

Total HAC Score

-0.8045

Percentile

8.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.8046

Hospital score -0.8046. 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

-0.8046

Δ from file score

-0.0001

File -0.8045

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 0.834Z file -1.078 → sim -1.078
    0.273.32
  • SIR 0.301Z file -0.708 → sim -0.708
    0.007.96
  • SIR 0.322Z file -0.542 → sim -0.542
    0.005.52
  • SIR 0.000Z file -1.456 → sim -1.456
    0.004.79

    No score impact — already at the measure floor.

  • SIR 0.093Z file -1.102 → sim -1.102
    0.003.32
  • SIR 0.726Z file 0.060 → sim 0.060
    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.