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The New Coffee Room

  1. TNCR
  2. General Discussion
  3. Best Hospitals

Best Hospitals

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  • George KG Offline
    George KG Offline
    George K
    wrote on last edited by
    #1

    I came across this in my news feed.

    Healthgrades' 50 top hospitals for 2021

    Healthgrades released its 2021 America's Best Hospitals lists Feb. 9.

    Three lists feature America's 50, 100 and 250 best hospitals, which represent the top 1 percent, 2 percent and 5 percent of hospitals in the nation, respectively. Healthgrades used 2017-19 Medicare data to evaluate the performance of nearly 4,500 U.S. hospitals in the treatment of 32 conditions and procedures, including heart attack, pneumonia and sepsis. For more information on the methodology, click here.

    Healthgrades found patients treated at a facility designated as one of its 2021 best hospitals had a 27.4 percent lower risk of death compared to patients treated at other hospitals.

    I can't speak to other states, but here in Illinois, I'm shocked at some of the choices. I have no doubt that Carle is a good place (great reputation), but the other three are just small-ish community hospitals. For anything serious or complicated, I wouldn't go there.

    Look at Massachusetts, and look at what hospitals didn't make the list. Ditto New York.

    Somehow Duke didn't make the list either, FFS.

    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

    CopperC 1 Reply Last reply
    • JollyJ Offline
      JollyJ Offline
      Jolly
      wrote on last edited by
      #2

      GIGO.

      Or playing to the numbers.

      “Cry havoc and let slip the DOGE of war!”

      Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

      1 Reply Last reply
      • jon-nycJ Online
        jon-nycJ Online
        jon-nyc
        wrote on last edited by
        #3

        It’s a weird list. Almost no university medical centers. Bet most on the list don’t even have CTSAs.

        Only non-witches get due process.

        • Cotton Mather, Salem Massachusetts, 1692
        1 Reply Last reply
        • MikM Offline
          MikM Offline
          Mik
          wrote on last edited by Mik
          #4

          Lies, damn lies, statistics..and government statistics.

          “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

          1 Reply Last reply
          • MikM Offline
            MikM Offline
            Mik
            wrote on last edited by
            #5

            I have been a patient at two of the Ohio hospitals and consulted at the other two. Christ and Toledo are good picks. Three are in Cincinnati. OSU and Cleveland Clinic are nowhere to be found. I suspect dollars have a lot to do with these ratings.

            “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

            1 Reply Last reply
            • JollyJ Offline
              JollyJ Offline
              Jolly
              wrote on last edited by
              #6

              @mik said in Best Hospitals:

              I have been a patient at two of the Ohio hospitals and consulted at the other two. Christ and Toledo are good picks. Three are in Cincinnati. OSU and Cleveland Clinic are nowhere to be found. I suspect dollars have a lot to do with these ratings.

              Somewhat.

              What you can do to improve your rating, is play to the numbers. CMS has certain quality indicators that can be confirmed through chart review. Concentrate on improving those stats and your hospital rating will improve, no matter if the rest of the care sucks.

              “Cry havoc and let slip the DOGE of war!”

              Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

              1 Reply Last reply
              • jon-nycJ Online
                jon-nycJ Online
                jon-nyc
                wrote on last edited by
                #7

                We see that with lung transplant. People compare centers based on one year survival rates.

                Want to stay above 90? Don't take anyone over 65, or with other comorbidities, above a certain BMI, etc.

                The centers that take the hard cases don't show up top of the list.

                Only non-witches get due process.

                • Cotton Mather, Salem Massachusetts, 1692
                George KG 1 Reply Last reply
                • jon-nycJ jon-nyc

                  We see that with lung transplant. People compare centers based on one year survival rates.

                  Want to stay above 90? Don't take anyone over 65, or with other comorbidities, above a certain BMI, etc.

                  The centers that take the hard cases don't show up top of the list.

                  George KG Offline
                  George KG Offline
                  George K
                  wrote on last edited by
                  #8

                  @jon-nyc said in Best Hospitals:

                  The centers that take the hard cases don't show up top of the list.

                  "Anyone can do the easy ones."

                  "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                  The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                  1 Reply Last reply
                  • jon-nycJ Online
                    jon-nycJ Online
                    jon-nyc
                    wrote on last edited by
                    #9

                    Oh, and CMS will shut you down if you're below 80%.

                    It sort of makes sense, they would rather fewer centers become competent at it than everyone do a couple a year badly.

                    But from the patient point of view, if you were going to die with certainty, however a transplant would give you (say) a 70% chance of survival, you'd sign right up. But the centers are incentivized not to take you. Of course in practice they can take the 75% cases and balance them out with the 95% cases. But still, at the margin the people turned away would probably be better off if the attempt was at least made.

                    Only non-witches get due process.

                    • Cotton Mather, Salem Massachusetts, 1692
                    1 Reply Last reply
                    • L Offline
                      L Offline
                      Loki
                      wrote on last edited by
                      #10

                      Often winners are defined by those that do the best reporting of their outcomes. Gear your reporting to the Healthcare methodology and you will get an immediate lift.

                      1 Reply Last reply
                      • CopperC Offline
                        CopperC Offline
                        Copper
                        wrote on last edited by
                        #11

                        Medicare

                        Healthgrades used 2017-19 Medicare data to evaluate the performance of nearly 4,500 U.S. hospitals in the treatment of 32 conditions and procedures, including heart attack, pneumonia and sepsis.

                        1 Reply Last reply
                        • George KG George K

                          I came across this in my news feed.

                          Healthgrades' 50 top hospitals for 2021

                          Healthgrades released its 2021 America's Best Hospitals lists Feb. 9.

                          Three lists feature America's 50, 100 and 250 best hospitals, which represent the top 1 percent, 2 percent and 5 percent of hospitals in the nation, respectively. Healthgrades used 2017-19 Medicare data to evaluate the performance of nearly 4,500 U.S. hospitals in the treatment of 32 conditions and procedures, including heart attack, pneumonia and sepsis. For more information on the methodology, click here.

                          Healthgrades found patients treated at a facility designated as one of its 2021 best hospitals had a 27.4 percent lower risk of death compared to patients treated at other hospitals.

                          I can't speak to other states, but here in Illinois, I'm shocked at some of the choices. I have no doubt that Carle is a good place (great reputation), but the other three are just small-ish community hospitals. For anything serious or complicated, I wouldn't go there.

                          Look at Massachusetts, and look at what hospitals didn't make the list. Ditto New York.

                          Somehow Duke didn't make the list either, FFS.

                          CopperC Offline
                          CopperC Offline
                          Copper
                          wrote on last edited by
                          #12

                          @george-k said in Best Hospitals:

                          Look at Massachusetts,

                          I got my face stitched up at Newton-Wellesley in Newton, MA, after playing hockey 50+ years ago, it was ok

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