Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

PEACEHEALTH ST JOHN MEDICAL CENTER

WA · Facility ID 500041 · FY2026

Total HAC Score

-0.3300

Percentile

30.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3301

Hospital score -0.3301. 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

-0.3301

Δ from file score

-0.0001

File -0.3300

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 0.926Z file -0.433 → sim -0.433
    0.273.32
  • SIR 0.232Z file -0.868 → sim -0.868
    0.007.96
  • SIR 0.423Z file -0.299 → sim -0.299
    0.005.52
  • SIR 1.795Z file 1.618 → sim 1.618
    0.004.79
  • SIR 0.083Z file -1.141 → sim -1.141
    0.003.32
  • SIR 0.287Z file -0.858 → sim -0.858
    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.