Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

NACOGDOCHES MEMORIAL HOSPITAL

TX · Facility ID 450508 · FY2026

Total HAC Score

0.2293

Percentile

66.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.2292

Hospital score 0.2292. 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

0.2292

Δ from file score

-0.0001

File 0.2293

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 0.967Z file -0.153 → sim -0.153
    0.273.32
  • SIR 0.397Z file -0.485 → sim -0.485
    0.007.96
  • SIR 1.460Z file 2.201 → sim 2.201
    0.005.52
  • SSIUnreported

    Results are not available for this reporting period.

  • SIR 0.211Z file -0.645 → sim -0.645
    0.003.32
  • MRSAUnreported

    Results are not available for this reporting period.

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.