HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
FORT DUNCAN MEDICAL CENTER
TX · Facility ID 450092 · FY2026
Total HAC Score
-1.1856
Percentile
2.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -1.1856. 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
-1.1856
Δ from file score
+0.0000
File -1.1856
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 0.895Z file -0.655 → sim -0.6550.273.32
- SIR 0.000Z file -1.407 → sim -1.4060.007.96
No score impact — already at the measure floor.
- SIR 0.000Z file -1.319 → sim -1.3190.005.52
No score impact — already at the measure floor.
- SIR 0.375Z file -0.814 → sim -0.8140.004.79
- SIR 0.000Z file -1.462 → sim -1.4620.003.32
No score impact — already at the measure floor.
- SIR 0.000Z file -1.457 → sim -1.4570.004.41
No score impact — already at the measure floor.
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.