Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

BON SECOURS ST FRANCIS MEDICAL CENTER

VA · Facility ID 490136 · FY2026

Total HAC Score

-0.0027

Percentile

52.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0026

Hospital score -0.0026. 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

-0.0026

Δ from file score

+0.0001

File -0.0027

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 0.944Z file -0.313 → sim -0.313
    0.273.32
  • SIR 0.551Z file -0.128 → sim -0.128
    0.007.96
  • SIR 0.515Z file -0.077 → sim -0.077
    0.005.52
  • SIR 2.448Z file 2.172 → sim 2.172
    0.004.79

    No score impact — already at the measure cap.

  • SIR 0.196Z file -0.703 → sim -0.703
    0.003.32
  • SIR 0.235Z file -0.966 → sim -0.966
    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.