Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

LEWISGALE HOSPITAL PULASKI

VA · Facility ID 490116 · FY2026

Total HAC Score

0.0574

Percentile

56.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.0576

Hospital score 0.0576. 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

0.0576

Δ from file score

+0.0002

File 0.0574

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 0.958Z file -0.216 → sim -0.215
    0.273.32
  • CLABSIUnreported

    Results are not available for this reporting period.

  • CAUTIUnreported

    Results are not available for this reporting period.

  • SSIUnreported

    Results are not available for this reporting period.

  • SIR 0.463Z file 0.331 → sim 0.331
    0.003.32
  • MRSAUnreported

    Results are not available for this reporting period.

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.