Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

JOHNSTON MEMORIAL HOSPITAL

VA · Facility ID 490053 · FY2026

Total HAC Score

-0.0320

Percentile

50.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0320

Hospital score -0.0320. 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

-0.0320

Δ from file score

-0.0000

File -0.0320

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 0.951Z file -0.261 → sim -0.261
    0.273.32
  • SIR 1.585Z file 2.240 → sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 0.364Z file -0.441 → sim -0.441
    0.005.52
  • SIR 0.622Z file -0.391 → sim -0.391
    0.004.79
  • SIR 0.129Z file -0.963 → sim -0.963
    0.003.32
  • SIR 0.517Z file -0.377 → sim -0.377
    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.