Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

SENTARA CAREPLEX HOSPITAL

VA · Facility ID 490093 · FY2026

Total HAC Score

-0.8257

Percentile

7.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.8257

Hospital score -0.8257. 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

-0.8257

Δ from file score

-0.0000

File -0.8257

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 0.882Z file -0.746 → sim -0.746
    0.273.32
  • SIR 0.174Z file -1.003 → sim -1.003
    0.007.96
  • SIR 0.227Z file -0.771 → sim -0.771
    0.005.52
  • SIR 0.634Z file -0.370 → sim -0.370
    0.004.79
  • SIR 0.221Z file -0.606 → sim -0.606
    0.003.32
  • SIR 0.000Z file -1.457 → sim -1.457
    0.004.41

    No score impact — already at the measure floor.

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.