Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

LEGACY SALMON CREEK MEDICAL CENTER

WA · Facility ID 500150 · FY2026

Total HAC Score

0.5060

Percentile

80.6th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5060

Hospital score 0.5060. 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

0.5060

Δ from file score

-0.0000

File 0.5060

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 1.181Z file 1.341 → sim 1.341
    0.273.32
  • SIR 0.340Z file -0.618 → sim -0.618
    0.007.96
  • SIR 1.379Z file 2.006 → sim 2.006
    0.005.52
  • SIR 0.793Z file -0.098 → sim -0.098
    0.004.79
  • SIR 0.464Z file 0.335 → sim 0.335
    0.003.32
  • SIR 0.731Z file 0.070 → sim 0.070
    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.