Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER

VA · Facility ID 490066 · FY2026

Total HAC Score

-0.5165

Percentile

19.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.5165

Hospital score -0.5165. 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

-0.5165

Δ from file score

+0.0000

File -0.5165

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 0.782Z file -1.438 → sim -1.438
    0.273.32
  • SIR 0.580Z file -0.061 → sim -0.061
    0.007.96
  • SIR 0.965Z file 1.008 → sim 1.008
    0.005.52
  • SIR 0.260Z file -1.011 → sim -1.011
    0.004.79
  • SIR 0.088Z file -1.121 → sim -1.121
    0.003.32
  • SIR 0.470Z file -0.475 → sim -0.475
    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.