Best Hospitals
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It’s a weird list. Almost no university medical centers. Bet most on the list don’t even have CTSAs.
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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.
DON’T let them eat cake.
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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.
