HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
SOUTHWESTERN VERMONT MEDICAL CENTER
VT · Facility ID 470012 · FY2026
Total HAC Score
-0.4317
Percentile
24.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.4317. 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
-0.4317
Δ from file score
-0.0000
File -0.4317
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 0.809Z file -1.254 → sim -1.2540.273.32
- SIR 0.000Z file -1.407 → sim -1.4060.007.96
No score impact — already at the measure floor.
- SIR 1.889Z file 2.386 → sim 2.3860.005.52
No score impact — already at the measure cap.
- SIR 0.000Z file -1.456 → sim -1.4560.004.79
No score impact — already at the measure floor.
- SIR 0.532Z file 0.598 → sim 0.5980.003.32
- 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.