Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG

VA · Facility ID 490143 · FY2026

Total HAC Score

0.6209

Percentile

84.5th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.6209

Hospital score 0.6209. 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

0.6209

Δ from file score

-0.0000

File 0.6209

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 1.041Z file 0.367 → sim 0.367
    0.273.32
  • SIR 1.429Z file 1.909 → sim 1.909
    0.007.96
  • SIR 1.399Z file 2.054 → sim 2.054
    0.005.52
  • SIR 0.989Z file 0.238 → sim 0.238
    0.004.79
  • SIR 0.000Z file -1.462 → sim -1.462
    0.003.32

    No score impact — already at the measure floor.

  • 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.