Best Hospitals
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@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.
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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.
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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.
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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.
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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.
