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Cosmetic Surgery Tourism

The American Society of Plastic Surgeons prepared this briefing paper on vacation-related surgery trips. The Society provides a patient safety checklist. Very useful overview and link to international ASPS member surgeons. Updated 2009

EU Hospitals 2009: General Information about Europe's Healthcare

Johan Hjertqvist, President of Health Consumer Powerhouse (Brussels) identifies the Netherlands as the winner in its 2009 Euro Health Consumer Index. The scoring grid may be confusing; shows ratings for waiting time, electronic records and online appointments, infections and survival, services and more. Published Sept. 2009

Health Policy Monitor - Search for Policy Reforms (Interactive)

Site by the International Network for Health Policy & Reform. Search for policy reports through 2010 from 20 different countries including US, Australia, Austria, Canada, Denmark, Estonia, Finland, France, Germany, Israel, Japan, Netherlands, N. Zealand, Poland, Singapore, Slovenia, S. Korea, Switzerland, and UK. Benefit Basket may include insurance. Transferred now to the European Observatory, but was an innovative site

Hospitals Worldwide - Find hospitals outside the US

List of about 14,000 hospitals in the world is provided by MediLexicon International (UK). In addition to listings for US, Canadian and United Kingdom hospitals, hospitals and medical clinics in countries such as Brazil, China, Egypt, India, Indonesia, Israel, and the Netherlands are listed. No quality ratings at this site.

Joint Commission International (JCI) Accredited Organizations (60+ countries)

List of accredited hospitals, labs, medical transport and healthcare organizations in Argentina, Austria, Bahamas, Bahrain, Bangladesh, Barbados, Belgium, Bermuda, Brazil, Brunei, Bulgaria, Cayman, Chile, China, Colombia, Costa Rica, Czech Republic, Ecuador, Egypt, Ethiopia, Germany, Greece, Hungary, India, Indonesia, Ireland, Israel, Italy, Japan, Jordan, Kazakhstan, Kenya, Kuwait, Lebanon, Lithuania, Malaysia, Mauritius, Mexico (8), Moldova, Netherlands, Nicaragua, Nigeria, Oman, Pakistan, Panama, Peru, Philippines, Portugal, Qatar, Romania, Russia, Saudi Arabia, Singapore, Slovenia, South Korea, Spain, Sri Lanka, Taiwan, Thailand, Turkey and United Arab Emirates (UAE)., United Kingdom, Vietnam. No reports, just list.

Euro-Canada Health Consumer Index 2009

Netherlands and Austria lead this index, followed by Luxembourg and Denmark. The UK and Canada ranked 19th and 23rd respectively. Estonia received the best value-for-money rating. Published by Health Consumer Powerhouse (HCP) and the Frontier Centre for Public Policy (based in western Canada) May 2009

Other Helpful Listings

Acupuncture Referral Service - Find an acupuncturist

List of acupuncturists by state and country - note, many people are listed twice. Besides the US and Puerto Rico, professionals in Canada, Australia, UK (England, United Kingdom), India, and other countries in Europe, Asia and the Middle East are included in the directory. Interesting observation: no acupuncturists in China are listed

Assisted Living, Home Health, Nursing Home Average Costs 2011 (Genworth)  Editor's Pick

Average cost for home health aide in a licensed agency was $19 per hour nationwide. A private one bedroom Assisted Living facility rose 2.4% to cost more than $39,000 per year ($3261 per month). Semi-private nursing home room rate was $193 per day, with Alaska at a whopping $609. Skilled nursing home private room averaged $213 per day in the US. All states listed; average adult day care and homemaker rates also shown. Survey by Genworth Financial (CareScout) between January and March 2011; published April 2011

Bariatric Surgery Centers of Excellence - Locate a Center & Bariatric Surgeon

As of February 2011, the Surgical Review Corporation (SRC) had designated 442 hospitals (763 surgeons, up from last year) as Bariatric Surgery Centers of Excellence. SRC is a non-profit corporation representing bariatric surgeons that promotes high standards of care in weight loss surgery. List of centers by state; includes US, UK, Brazil, Mexico and Taiwan

Doctor and Dentist Ratings and Reviews

Patients may rate anyone called Doctor (such as chiropractors and dentists) in the US and selected countries at this site: RateMDs.com. As of August 2009, very few physicians had more than 30 patient ratings. Most physicians only have one patient rating. Doctors are rated on punctuality, helpfulness and knowledge. May sort list by city or number of ratings. Consumers may add a comment

Fertility Clinic Success Rates - 2012 ART Report (CDC)  Editor's Pick

Find out about ART clinics (Assisted Reproductive Technology) in the US and Puerto Rico, in this 576-page report by the CDC in conjunction with Reproductive Medicine societies. Shows success rates by age of woman, and both fresh and frozen embryo transfers. One-page summaries for each of 456 fertility clinics reporting 2012 data. Nationally, about 32% of embryo transfers resulted in singleton live births, with nearly 47% of fresh embryos resulting in live births. Pub. 2014

GlobalHealthReporting.org (KFF)

Get health facts by country, from this project operated by the Kaiser Family Foundation. Topics include HIV/AIDS, TB, Malaria, other public health diseases and conditions, obesity rates (American women rank 13th with 42% obese; American men rank 7th with 36.5% obese, 2005 data), smoking, and much more

Home Health Compare - www.medicare.gov (all states)  Editor's Pick

This tool gives detailed information about Medicare-certified home health agencies. Search by county or zip code and see performance scores related to nursing care, physical and occupational therapy, home health aides, speech and social services. Find the graphs to compare agencies on ten measures related to getting around, pain, bladder control, bathing, patients who get admitted to the hospital or need urgent unplanned medical care, and more. 2011-2012 data

Hospital Compare - hospitalcompare.hhs.gov (all states) - Hospital star ratings, complications  Editor's Pick

Federal government gives 1 to 5 stars and compares hospital ratings for heart attack (AMI), heart failure, pneumonia, COPD, stroke, and preventing surgery infections and other complications in 2014-2015. Includes death rate comparisons from heart failure, heart attack, pneumonia, and readmission rates. Click on Timely & Effective Care, or Complications. Shows patient satisfaction HCAHPS ratings. Editor's Pick because the government standardized its ratings for all hospitals, and most ratings are based on more than just Medicare patients. Small volume hospitals will not show data for some measures. Be sure to click on Show Graphs. New Overall Star Ratings in 2016 are controversial

How Good is US healthcare?

Compare Canada, Australia, France, Germany, Netherlands, New Zealand, Sweden, UK and the United States on key healthcare performance measures, and health determinants smoking and obesity. Table 1 shows relative ranking and actual scores from OECD's international 2012 results. Download the report (27 pages) Learning From the Best: Benchmarking Canada’s Health System, released Nov. 2013 by the Canadian Institute for Health Information (CIHI)

Kidney Dialysis Center Compare - from medicare.gov  Editor's Pick

Compare services and ratings on kidney dialysis facilities in any state or US territory. Quality measures show Survival Rates among facilities and quality of care provided to Medicare patients at hospital-sponsored centers, nonprofit and for-profit dialysis centers. Resources on kidney failure and end stage renal disease (ESRD) also linked

Medicare Ambulatory Outpatient Surgery Average Cost (2010)

Find out the average prices (charges) to Medicare patients in your state and county, and how much Medicare actually pays for 50 common ambulatory surgeries for rotator cuff repair, wrist fracture pinning, hernia repair, shoulder scopes, endoscopy, colonoscopy, bladder scopes and stents, laser coagulation or vaporization of prostate for urine flow, lower back injections and more. Example: Hernia repair CPT 49560 has average charge of $4274, with Medicare allowing $907 and actually paying $711. Over 80% discount! Average payments do NOT show how much your costs for co-pays and deductibles are, nor are physician fees shown. Consumers are expected to know CPT codes and how to use Excel files. Not our favorite, but this is the best of what's out there, and it shows how messed up healthcare pricing is. No longer Editor's Pick, since in four years and the Value-Driven Health Care initiative, we expected improved reports. 2009 data published Aug. 20, 2010

Medicare Ambulatory Surgery Charges - 13 Other Commonly Performed Procedures (2010)

See this second file for 13 more procedure prices and discounts to Medicare. This file covers Ambulatory Surgery Center facility charges and Medicare payments for selected outpatient surgery such as breast biopsy (example: $3660 national average breast biopsy charge, with Medicare allowing $444, and paying $349 - over 90% discount), surgical change of stomach tube, prostate needle biopsy (CPT code 55700 $1599 average charge, $396 allowable; $310 average cost paid), nerve blocks, cataract removal & lens insertion ($3135 charge, $953 allowed), cancer screen colon scope for high risk patients, and more. Does not include physician fees. Confusing file unless you know CPT codes. This is the best of what's out there nationally, with state and county average charges. 2009 data published Aug. 20, 2010

Trauma Programs: Verified Trauma Centers (ACS)

Level I, II and III Trauma Centers are listed here, by state (and Landstuhl Germany), at the American College of Surgeons' website. Trauma Center designation is a voluntary process that hospitals may choose to pursue for Adult and/or Pediatric care. Level I is the highest level. For remote areas, a Level IV designation can be sought; unclear why Level IV hospitals are not listed (approx. 29); Sept. 2009

VA Hospital, Medical Facility Quality and Satisfaction Reports

The Veterans Affairs Office of Inspector General (OIG) makes its VA Medical Center reports available online. Titles include Combined Assessment Program or Community Based Outpatient Clinic Reviews; Audits; or Healthcare Inspections. Listed by date. Topics include quality ratings and patient safety, consumer satisfaction & experience of care, nursing home contracts, screening and/or treatment times, volumes and more. Updated 2013

VA Medical Facilities Locator & Directory - Veterans

The Department of Veterans Affairs provides a convenient search tool to find medical facilities such as hospitals and clinics. Facilities in the US, Philippine Islands, Guam and Puerto Rico

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