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National Rankings for Hospitals

We computed hospital rankings using publicly reported data downloaded from the Centers for Medicare & Medicaid Services (CMS) Hospital Compare website (www.hospitalcompare.hhs.gov - last accessed 12/28/09¹).

Quality Measures
The Hospital Compare data set contains hospital-specific performance on 25 quality measures for over 4,300 hospitals nationwide².The quality measures show how often hospitals give recommended treatments that are known to get the best results for patients. The Quality Measures used to compute the rankings are drawn from four clinical topic areas: heart attack; heart failure; pneumonia; and surgical infection prevention. Information about these treatments is taken from the patients’ record. Hospitals voluntarily report their data, and some hospitals may not provide data for some topics or measures. For each measure the denominator is the number of eligible cases, and the numerator is the number of eligible cases where the recommended care was provided. The overall success rate for each hospital is calculated by summing the numerators and denominators for all measures reported. We rank hospital performance on this overall rate and then convert the ranks to percentiles. Our analysis uses all performance measures included in the database and does not exclude any hospitals or measures based on the number of cases in the denominator. This means that for some hospitals the rankings are based on only a few eligible cases; and the rankings for these facilities should be interpreted cautiously.

HCAHPS
The HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a national, standardized survey of patients’ perspectives of hospital care. The survey asks a random sample of discharged patients 27 questions about their recent hospital stay. For each participating hospital results on 10 measures (six summary measures, two individual survey items and two global ratings) are publically reported on the Hospital Compare website³. The national rankings presented here are based on the percentage of survey respondents who give the most favorable response for each of these measures. For each hospital these 10 response rates are averaged to get the mean most favorable response rate, hospitals are ranked based on this mean and then the ranks are converted to percentiles.⁴

Please select your state's initials and press the Show Results button. Results will be displayed in a new window.

Update: You can now sort the results by clicking on any of the headings in the results table (ie. Hospital, City, AMI, HF, Pneumonia, SCIP, or National Ranking). Also, clicking on a hospital will provide detailed historical data for that hospital's rank and overall performance rate for the past 8 quarters. This will also show as graphical charts in the lower half of the window.

These data have limitations that people should be aware of when interpreting the data. For more information click here.

Select your State by initial:

*Disclaimer: These rankings are based on data from CMS's Hospital Compare. HealthInsight used the data to calculate the statistics that are presented here. The analysis, and the display of the resulting rankings, were not paid for by CMS contract funds and do not reflect CMS policy.

¹ This currently includes data from the time period 4/1/08 to 3/31/09. To obtain a copy of the database, go to
http://www.hospitalcompare.hhs.gov/Hospital/Search/Welcome.asp?version=default&browser=
IE%7C7%7CWinXP&language=English&defaultstatus=0&pagelist=Home click on “Download the Hospital Compare database”.

² These measures are:

Heart Attack (Acute Myocardial Infarction or AMI)
- Aspirin at arrival
- Aspirin at discharge
- ACEI or ARB for left ventricular systolic dysfunction
- Fibrinolytic medication within 30 minutes of arrival
- Percutaneous coronary intervention (PCI) within 90 minutes of arrival
- Smoking cessation advice/counseling
Heart Failure
- Assessment of left ventricular function
- ACEI or ARB for left ventricular systolic dysfunction
- Discharge instructions
- Smoking cessation advice/counseling
Pneumonia
- Initial Antibiotic Timing
- Appropriate antibiotic for immunocompromised patients
- Blood culture before first dose of antibiotics
- Pneumococcal Vaccination
- Influenza vaccination (seasonal)
- Smoking cessation advice/counseling
Surgical Care Improvement Project
- Prophylactic antibiotics within one hour before incision
- Prophylactic antibiotics stopped within 24 hours after surgery
- Appropriate antibiotic selection
- Cardiac surgery patients wth controlled blood glucose post surgery
- Appropriate hair removal
- Surgery patients on a Beta Blocker prior to arrival who received a Beta Blocker during the perioperative period.
- Treatment to prevent blood clots within 24 hours before or after selected surgeries.
- Doctors ordered treatments to prevent blood clots for certain types of surgeries.

³The HCAHPS Measures and the response levels reported by CMS are (most favorable responses are in bold):

How often did nurses communicate well with patients? (Sometimes or Never; Usually; Always)
How often did doctors communicate well with patients? (Sometimes or Never; Usually; Always)
How often did patients receive help quickly from hospital staff? (Sometimes or Never; Usually; Always)
How often was the patient’s pain well controlled (Sometimes or Never; Usually; Always)
How often did staff explain about medicines before giving them to patients? (Sometimes or Never; Usually; Always)
Were patients given information about what to do during their recovery at home (No; Yes)
How often were the patients’ rooms and bathrooms kept clean? (Sometimes or Never; Usually; Always)
How often was the area around the patient’s rooms kept quiet at night? (Sometimes or Never; Usually; Always)
How do patients rate the hospital overall? [on a scale of 1-10: 6 or lower (low); 7 or 8 (medium); 9 or 10 (high)]
Would patients recommend the hospital to friends or family? (No, Probably; Definitely)

⁴ For more details on hospital participation, the Quality Measures, and HCAHPS go to: http://www.hospitalcompare.hhs.gov/Hospital/Static/Data-Professionals.asp?
dest=NAV|Home|DataDetails|ProfessionalInfo#TabTop


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