HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
HENRICO DOCTORS' HOSPITAL
VA · Facility ID 490118 · FY2026
Total HAC Score
-0.9034
Percentile
5.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.9034. 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
-0.9034
Δ from file score
-0.0000
File -0.9034
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 0.611Z file -1.483 → sim -1.4830.273.32
No score impact — already at the measure floor.
- SIR 0.265Z file -0.792 → sim -0.7920.007.96
- SIR 0.000Z file -1.319 → sim -1.3190.005.52
No score impact — already at the measure floor.
- SIR 0.098Z file -1.289 → sim -1.2890.004.79
- SIR 0.079Z file -1.156 → sim -1.1560.003.32
- SIR 0.993Z file 0.618 → sim 0.6180.004.41
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.