Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SENTARA LEIGH HOSPITAL

VA · Facility ID 490046 · FY2026

Total HAC Score

-0.5845

Percentile

16.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.5845

Hospital score -0.5845. 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

-0.5845

Δ from file score

-0.0000

File -0.5845

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 0.953Z file -0.251 → sim -0.251
    0.273.32
  • SIR 0.160Z file -1.035 → sim -1.035
    0.007.96
  • SIR 0.250Z file -0.716 → sim -0.716
    0.005.52
  • SIR 0.493Z file -0.612 → sim -0.612
    0.004.79
  • SIR 0.173Z file -0.792 → sim -0.792
    0.003.32
  • SIR 0.649Z file -0.101 → sim -0.101
    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.