Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

SENTARA NORFOLK GENERAL HOSPITAL

VA · Facility ID 490007 · FY2026

Total HAC Score

0.1529

Percentile

61.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1529

Hospital score 0.1529. 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

0.1529

Δ from file score

+0.0000

File 0.1529

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 1.390Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.493Z file -0.263 → sim -0.263
    0.007.96
  • SIR 0.304Z file -0.586 → sim -0.586
    0.005.52
  • SIR 0.426Z file -0.727 → sim -0.727
    0.004.79
  • SIR 0.318Z file -0.231 → sim -0.231
    0.003.32
  • SIR 0.799Z file 0.213 → sim 0.213
    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.