HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
TRISTAR SOUTHERN HILLS MEDICAL CENTER
TN · Facility ID 440197 · FY2026
Total HAC Score
-0.5608
Percentile
17.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.5608. 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
-0.5608
Δ from file score
0.0000
File -0.5608
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 0.931Z file -0.399 → sim -0.3990.273.32
- SIR 0.264Z file -0.794 → sim -0.7940.007.96
- SIR 0.000Z file -1.319 → sim -1.3190.005.52
No score impact — already at the measure floor.
- SIR 0.382Z file -0.802 → sim -0.8020.004.79
- SIR 0.085Z file -1.133 → sim -1.1330.003.32
- SIR 1.215Z file 1.082 → sim 1.0820.004.41
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.