Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SENTARA RMH MEDICAL CENTER

VA · Facility ID 490004 · FY2026

Total HAC Score

-0.1794

Percentile

40.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.1794

Hospital score -0.1794. 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

-0.1794

Δ from file score

+0.0000

File -0.1794

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 0.866Z file -0.855 → sim -0.855
    0.273.32
  • SIR 0.430Z file -0.409 → sim -0.409
    0.007.96
  • SIR 0.826Z file 0.672 → sim 0.672
    0.005.52
  • SIR 0.892Z file 0.071 → sim 0.071
    0.004.79
  • SIR 0.214Z file -0.633 → sim -0.633
    0.003.32
  • SIR 0.734Z file 0.077 → sim 0.077
    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.