HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
RIVERSIDE WALTER REED HOSPITAL
VA · Facility ID 490130 · FY2026
Total HAC Score
0.2793
Percentile
69.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.2793. 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
0.2793
Δ from file score
-0.0000
File 0.2793
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 0.893Z file -0.664 → sim -0.6640.273.32
- SIR 0.537Z file -0.161 → sim -0.1610.007.96
- SIR 1.163Z file 1.485 → sim 1.4850.005.52
- SIR 0.000Z file -1.456 → sim -1.4560.004.79
No score impact — already at the measure floor.
- SIR 1.051Z file 2.193 → sim 2.1930.003.32
No score impact — already at the measure cap.
- 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.