The nonprofit Accreditation Association for Ambulatory Health Care (AAAHC) currently accredits over 6100 organizations in a wide variety of ambulatory health care settings, including ambulatory and office based outpatient surgery centers, community health centers, endoscopy centers, lithotripsy centers, some managed health plans, medical group practices, retail clinics, urgent care centers, specialty services, and workplace clinics. (See also Joint Commission site for hospital-owned ambulatory surgery center accreditation.)
Click on Member Search to find surgicentres in any province in Canada, which has an accredited ambulatory surgery centre, by The Canadian Association for Accreditation of Ambulatory Surgical Facilities (CAAASF). Unknown how many surgery facilities there are; Cosmetic surgery appears to be the dominant type of surgical center listed. None listed in Manitoba.
The Joint Commission (formerly JCAHO – Joint Commission on Accreditation of Healthcare Organizations) accredits hospitals and other healthcare organizations. Quality Check provides accreditation and comparison information for hospitals, behavioral health care, home health/hospice, laboratories, some nursing homes (called nursing care centers) & assisted living centers, and other health care services. A few actual scores for acute care hospitals and behavioral health (mental health) programs may be available for 2018. For nursing homes, consumers are advised also to check state inspection reports . We recently discovered a 1-star Florida nursing home (the lowest possible rating in the state) had been accredited by the Joint Commission. Consumers are always advised to check multiple sources and ratings when researching quality of care. Conflicts in scores may suggest quality is not consistent.
The Healthcare Facilities Accreditation Program (HFAP), founded by the American Osteopathic Association, lists names of acute hospitals and their laboratories, critical access hospitals, office-based and other ambulatory surgery centers; behavioral health, and primary stroke centers, that are accredited under the HFAP program. Competitor to the Joint Commission
Find free reports on deficiencies for AL nursing homes, assisted living, outpatient surgery facilities, hospitals, home health agencies, hospices, end stage renal disease treatment (kidney dialysis) centers, rehab facilities and more. Some Inspection reports may contain no deficiencies, but simply report a regulatory visit. Be prepared to see all facilities listed, even those whose licenses have been terminated, and facilities that have closed. Updated with 2019 survey results. Site by the Alabama Department of Public Health
Two Kaiser Permanente HMO Plans received the highest ratings. The lowest rating went to Aetna Health of California HMO. Compare 10 largest California HMO health insurance plans: Aetna, Anthem Blue Cross HMO, Blue Shield, Cigna, Health Net, Kaiser Permanente Northern and Southern CA regions, Sharp Health Plan, United Healthcare and Western Health Advantage. Compare 6 of the largest PPOs: Aetna, Anthem Blue Cross, Blue Shield, Cigna, Health Net Life Insurance Company, United Healthcare. Clear, simple star system (5 stars = excellent; 4 stars = very good; 3 stars = good, 2 stars = fair; 1 star = poor) used for overall rating. Actual performance scores are not given, but may be available through NCQA. Quality measures (based on HEDIS scores) for asthma, cancer screening, child health, chlamydia screening, diabetes, heart care, maternity care, behavioral and mental health, and other expected care. Member satisfaction stars also shown. Complaint rates reported for health plans in a separate report. Nearly 200 Medical Group ratings also provided by county for the larger groups of doctors. For example, nearly 60 different Kaiser Permanente medical groups are included; Sutter, Scripps, Sharp and many more. Prepared by the California state Office of the Patient Advocate (OPA), published November 2018.
Shows complaints, incidents (referred to as occurrences), inspection surveys, and adverse events that must be reported to the state for all types of facilities licensed by Colorado, including hospitals, nursing homes, assisted living residences, ambulatory surgery, birth centers, chiropractic centers, dialysis clinics, hospice and home health agencies, outpatient physical therapy, adult day programs, mental health clinics, portable x-ray services, trauma center. State government website by the CO Department of Public Health and Environment
CO Dept. of Public Health (CDPHE) reports patient infections in health facilities, including hospitals, ambulatory surgery centers, dialysis centers. Infection Rates are compared to national average, on surgical site infections for cardiac,colon, breast, hip replacement, knee replacement surgery, outpatient hernia repair, hysterectomy, catheter associated bloodstream infections (CLABSI) in adult or neonatal ICU, critical care units & long-term acute care hospitals (LTACHs), and dialysis treatment centers (DTCs). If a facility is significantly better or worse, it’s highlighted. 2017 data
Find and compare performance levels of nearly 1400 federally qualified community health centers (FQHCs) in each state. Ratings on clinical measures include diabetes, hypertension, prenatal care, low birth weight, asthma, childhood immunizations, depression screening, weight management, dental sealants, cervical cancer screening and more. See Clinical Data section for three-year trends. Altogether, the health centers have about 12,000 different sites across the US. They receive federal money to lower the price to low income patients. They are locally owned and managed. Services include primary medical care, dentist services, and mental health care. Excellent program if your community is lucky enough to have a community health center. UDS data from 2018
Recent inspection reports for all types of healthcare facilities in Florida. Site includes ambulatory surgery centers, assisted living facilities, nursing homes, birth centers, hospitals, clinics, home health, hospice, lab, MRI and imaging centers (see health care clinics), dialysis, rehab agencies, residential treatment centers and more. Both regular biennial inspection reports, and those from complaint investigations are included. Site by FL Agency for Health Care Administration (AHCA) is easy to use. Updated for 2019
Compare IL hospitals on heart attack, heart failure, pneumonia, surgical infection prevention, knee arthroscopy, cardiac surgery, safety measures, infection rates, some survival information, patient satisfaction, more. See volume and 2016 median charges (closest you’ll get to average cost) for selected types of inpatients (e.g. birth, c-section, appendectomy, COPD, gall bladder), and outpatients at ambulatory surgery centers (such as arthroscopy priced at over $33,000 average in IL, bunionectomy [which had a statewide list price nearing $20,000], hernia repair, colonoscopy, lens, lumpectomy, tonsillectomy). Prices may be found under the SERVICES tab. May get a full report for one hospital at a time, or one measure at a time for multiple hospitals side-by-side, with state averages. Hospital Report Card by IL Dept. of Public Health (IDPH) for all IL cities incl. Chicago area, Peoria, Rockford, Springfield, Champaign. Updated 2019, using 2017 prices and 2018 quality data
IN State Dept. of Health (ISDH) reports of accreditation status, survey inspection findings, deficiencies and complaints for outpatient surgery centers. Site is not always reliable in producing reports.
Indiana Medical Error Reporting System final report for 2017 summarizes 110 reportable events in hospitals and outpatient surgery centers in 2017. Five (5) of 110 events occurred at ambulatory surgery centers. Adverse Events such as leaving a foreign object inside a patient after surgery, operating on the wrong body part, (remarkably, these avoidable surgical errors still happen) or Stage 3 or 4 pressure ulcers (bedsores) acquired after admission, are based on NQF’s list of 28 serious, largely preventable adverse events. List of events by facility name is a separate 289-page pdf file called Data Tables. IU Health and St. Vincent in Indianapolis, Baptist Health Floyd (New Albany) and Methodist in Gary, IN had the greatest number of adverse reportable events in 2017. Market share data included. Published by IN State Dept. of Health (ISDH, in.gov) October 2018.
Annual Healthcare Equality Index designated 406 U.S. hospitals, clinics and other facilities as Equality Leaders for their policies and practices related to the gay, lesbian, bisexual transgender and queer community. An additional 148 were named as top performers. The Index had 680 active participants and 900 other organizations were researched. Criteria include patient non-discrimination, hospital visitation, employment policies and training in LGBTQ patient-centered care. Detailed ratings begin on page 48. Prepared by the Human Rights Campaign Foundation, 2019
Maine Patient Experience Matters from the Maine Quality Forum coalition. Compare health center, doctor & clinic ratings (primary care, specialists and pediatrics) for patient satisfaction, getting timely appointments and communication. Percent positive understates what is shown. In the fine print, it says these are Top Box scores, which means the percent of people who gave the highest possible ratings of 9 or 10. Scores from Aug. 2014 to Feb. 2015, which is the most recent available. Partners include Maine Health Management Coalition, DHSS, Maine Quality Counts, & Muskie School of Public Service
Massachusetts 2018 Serious Reportable Events shows surgical mistakes, pressure ulcers (bedsores), or serious injury or death after a fall or medication error, and other mishaps in MA acute care hospitals, non-acute hospitals and ambulatory surgery centers. Wrong site surgery (e.g. operating on the wrong body part) or wrong surgery occurred during 2018 at Massachusetts General Hospital, Boston Eye Surgery & Laser Center-West, Cataract & Laser Center Associates and North Shore, East Bay Surgery Center, Beth Israel Deaconess (Plymouth, Milton and East), Boston Children’s, Brigham & Women’s Faulkner, Brigham & Women’s Hospital, Cape Cod Hospital, Fairview, Harrington Memorial, Holy Family, Lahey Clinic, Lawrence General, Lowell General Hospital, Mass Eye & Ear Infirmary, Mercy Medical Center Campus, Newton-Wellesley Hospital, Southcoast Hospital Group (Charlton and St. Luke’s) and St. Vincent Hospital. Of the 171 Stage 3 & 4 pressure ulcers on acute care patients in 2018, 130 occurred at Brigham & Women’s Hospital. In non-acute hospitals, more than half of the reportable events were serious injury or death after a fall. Hebrew Rehabilitation Center reported 32 serious falls. Excel files only; PDF no longer available. From Mass.gov Health and Human Services
Compare adult and pediatric clinic quality and patient experience among primary care medical groups in Massachusetts. Must choose location first. Includes medical clinics that have 3 doctors or more. Patient satisfaction (willingness to recommend the clinic, ability to get a timely pediatric or primary care appointment and more) is measured statewide. Quality ratings on behavioral health (mental health), support for patient self-management, and getting high quality of care. Healthcare Compass MA site by Massachusetts Health Quality Partners (MHQP) shows 2018 scores
The Greater Detroit Area Health Council provides a 7-county health care performance report at MyCareCompare.org. Compare MI hospitals (side-by-side) for childbirth, COPD, emergency department (ER), heart attack, heart failure, cardiac surgery, hip or knee replacements, imaging, infections, patient safety, pneumonia, surgical infection prevention and overall patient satisfaction. See mortality ratings (survival rate) for some conditions. Same info as listed at the federal HospitalCompare site, except mycarecompare might not be updated as often, so check the federal site. The advantage of mycarecompare is that consumers can see Above Average and Below Average comparisons very quickly, for the selected hospitals they want to look at, and all health conditions at once. Very easy to use. Physician group and nursing home results are at this site. GDAHC hospitals are in Detroit, Ann Arbor, Pontiac and counties: Wayne, Washtenaw, Livingston, Macomb, Monroe, Oakland, and St. Clair. GDAHC was an early leader in quality transparency. It appears that larger hospitals in Lansing and other towns may be included. Medical group data from 2017
Report of 384 adverse health events required to be reported by Minn. law, that occurred in hospitals, ambulatory surgery centers and behavioral health hospitals. These [Never Events] such as falls or pressure ulcers (bedsores) that resulted in a patient’s death or serious injury, or a foreign object left in during surgery, or operating on the wrong patient or wrong body part, were reported between October 2017 and Oct. 2018. There were 118 serious injuries and 11 deaths. View facility-specific data in the 109-pg pdf (near end of the report). Adverse Events in the 2019 report came from about 77 hospitals or ambulatory surgery centers. Report by MN Department of Health March 2019
Compare side-by-side (5 measures at a time) over 500 participating medical groups, hundreds of clinic locations and urgent care centers in Minnesota, Fargo, Grand Forks, Sioux Falls, and some Wisconsin communities for diabetes, knee replacement, vascular care, mental health (depression), cancer screening, controlling high blood pressure, heart (coronary artery) disease, asthma, vaccinations, appropriate care for children with colds and sore throats and more. Some clinics also have patient satisfaction scores. Medical groups include Allina, Altru, Apple Valley, Aspen, Avera, Brainerd, Children’s Physician Network, Dakota Clinic, Edina, Fairview, Fergus, Grand Itasca, Gundersen, HealthEast, HealthPartners, Lakewood, Mankato, Mayo Clinic, North Memorial, Northfield, Olmsted, Park Nicollet, Ridgeview, Sanford, St. Cloud CentraCare, St. Luke’s, St. Mary’s Duluth Clinic (Essentia), Stillwater, United, University of Minnesota, Winona Health Services, and more; OB-GYN clinics and Orthopedic clinics. Report by MN Community Measurement (founded by the MN Medical Association and seven non-profit health insurance plans). Annual data, but report doesn’t specify what year (unclear why that is a secret). Otherwise, the interactive format is easy-to-use.
Three types of hospital-acquired infections – Central Line Associated Bloodstream (CLAB) Infections and Surgical Site Infection (SSI) rate to prevent ventilator-associated pneumonia – are presented by hospital or ambulatory surgery center (ASC) name, along with a symbol identifying whether the facility has a lower or higher rate than its comparison group. Click on DATA if you want to see the actual numbers of infections. Surgery infections available for hysterectomy, hip, heart bypass (CABG), outpatient breast surgery and hernia repair. Report by the MO Department of Health and Senior Services (DHSS) shows 2017 data. Click on Infection Reporting Data to search
Find WA clinic and health plan quality ratings reported at WACommunityCheckup.org. Compare care among 300 medical groups in Washington state. See report called Improving Health Care in Washington State. Scroll to Medical Group Performance to see medical group rankings beginning on Figure 5. Highest rated for 2018 were Virginia Mason, Kaiser Permanente Washington and The Polyclinic for Commercially insured patients; UW Medicine-Valley Medical Group and International Community Health Services were highest for Medicaid patients. Groups also include Swedish Medical Group, Pacific Medical Centers, The Everett Clinic, Columbia Medical Associates, Family Care Network, Women’s Healthcare Alliance, Northwest Physicians Network, MultiCare, UW Neighborhood Clinic and hundreds of others. For two measures, 10 health insurance plans and 9 accountable communities of health (ACOs) were compared. Community Checkup by Washington Health Alliance, uses 2016-2017 data, published December 2018
Find patient experience ratings with 351 clinics in 35 Washington counties. The primary care clinics represent 114 different primary care medical groups. Patients rated getting timely appointments, communications with their doctors and other providers, coordinating patient care, office staff, overall rating and more. Survey done in Fall 2017, with a solid 26% response rate. FQHC patient ratings are included. Medical Group ratings are grouped as Better, Average or Worse. Clinic-specific ratings start on page 14. Timely publication by WA Health Alliance, Feb. 2018
Compare 32 WA medical groups by how much health care waste they generate. Report by Washington Health Alliance used the Milliman MedInsight Health Waste CalculatorTM (Calculator) to rate medical group performance on 47 measures. The Alliance studied over 9.5 million services using these 47 measures of common treatments, tests, and procedures widely known to be overused. After classifying the services as either Necessary, Likely Wasteful or (definitely) Wasteful, they found about half of the 9.5 million services were probably not needed and therefore classified as “low-value”. Great improvement was made by the medical groups between 2014 and 2017. The top 10 low-value services are identified for both commercially-insured patients and Medicaid. Examples of overused services include annual cardiac screening if you’re low risk and have no symptoms; Opiates for acute low back pain in your first 4 weeks; Antibiotics for acute upper respiratory or ear infections. Consumers can potentially help avoid unnecessary costs by educating themselves on the top 10 low value services. Report titled “Right Care : First, Do No Harm: Calculating Health Care Waste in Washington State”. Alliance’s All Payer Claims Database was used in the 4-year analysis. Analysis is based on the national Choosing Wisely® program. Published October 2019 on WACommunityCheckup.org .
Compare Wisconsin physician clinics on 30 measures related to satisfaction with getting a timely doctor’s appointment, patient recommendations on clinics; scores for diabetes, heart care, high blood pressure, HPV vaccine, smoking & osteoporosis screening, pneumonia shot, screening for Breast Cancer, Cervical Cancer & Colorectal Cancer; Ischemic Vascular Disease care, BMI, Depression screening, well child visits and more. Includes Affinity, Aspirus, Aurora, Bellin, Ascension Columbia St. Mary’s and Wheaton, Associated Physicians, SSM Dean, Mayo Clinic Eau Claire and Franciscan La Crosse, Fort Healthcare, Froedert, Gundersen Clinic, Marshfield Clinic, Mercy, Meriter Unity Point, Monroe, Prairie Clinic, Prevea, Primary Care Associates Appleton, ProHealth, Reedsburg, ThedaCare, UW Health, Wildwood and others. Some medical groups report scores by individual clinic location. The Sort-by-Rank option helps you see better performers on the top of your list for some items. Easy to read reports by WI Collaborative for Healthcare Quality (WCHQ); 2017 and 2018 data
Find quality ratings of physician clinics and hospitals for diabetes, heart and vascular care, cancer screening, pediatric care and immunizations, selected surgery, heart attack, heart failure, pneumonia, infections, childbirth, hip fracture, survival rates and more. State is organized into 4 regions; includes little towns and major metro areas. Data from 2008 to 2010; report by the MN Department of Health. Old report.
Nova Scotia (Canada) Hospital Quality reports show Wait times, Infections and other Patient Safety Events, and Serious Reportable Events. Report on health system quality is by the Department of Health, Nova Scotia, Canada. 2019 data; often rolled-up to area or province-level. Long term trends are shown for many measures. Healthcare worker immunization levels for influenza are low relative to the United States.
Interactive facility search for ACR-accredited facilities: Breast Ultrasound, MRI, Mammography, Radiation Oncology, CT (computed tomography or CAT scan), Nuclear Medicine and PET, Stereotactic Breast Biopsy and Ultrasound
Compare healthcare quality results for NHS Trusts and Independent hospitals of all types in England. CareQuality Commission provides inspection ratings of Outstanding, Good, Requires Improvement or Inadequate. Overall Rating shown, as are how well the hospitals met standards for Safe, Effective, Caring, Responsive and Well-Led. cqc.org Inspection reports current through 2019
Facility Inspection Reports trhough the Georgia Department of Community Health. Use the map program called GaMap2Care to locate any state-licensed, registered or certified health facility (including ESRD) or assisted living personal care homes in GA. Check to see if there is a report available. Limited comparative information. Most hospitals do NOT have inspection violation reports. Nursing home and home health reports are referred to the federal NursingHomeCompare and HomeHealthCompare Web sites
Select NY hospitals to compare in care areas like emergency department waiting time, post-op complications, cardiac, patient satisfaction, readmissions, death rates or infection prevention. Data updated each year, although dates are hard to find (hover over the hospital’s score). Most data are from somewhere between 2016 and 2018. Some measures (e.g. surgery complications and mortality) are older. Services include maternity, and volumes for some types of surgery (e.g. endoscopy, colonoscopy, hernia repair) and procedure counts for MRI, CT, cancer chemotherapy and psych evaluations. New York State Department of Health site NY Health Profiles. Select one hospital at a time. You can select hospitals to compare, to see performance measures side by side.
Search by county for an Ambulatory Surgical Center, Birth Center, Community Mental Health Center, FQHC, Outpatient Rehab, End Stage Renal Disease, Home Health Agency, Home Care, Hospice, Hospital, Intermediate Care for Individuals with Intellectual Disabilities, Nursing Home, Pediatric Extended Care, Speech and Physical Therapy, Abortion, Psychiatric Residential Treatment Facility, and Rural Health Clinic in PA. Many of the sites have links to facility-specific inspection survey reports. Pennsylvania Department of Health
Compare surgical site infection rates at SC hospitals for colon surgery, hysterectomy (abdominal), hip and knee replacements, and heart bypass (CABG), 2017 data. Central line infections in hospital ICUs, c. difficile and MRSA also shown; compare hospitals for each type of infection. Provided by South Carolina state Department of Health (DHEC)
Utah OpenDataCatalog is a browse-yourself database. A few reports may be prepared, but mostly, it’s a set of databases to download. Site may be difficult to use and understand. Tags are useful for browsing. Most data to 2017 or older. Compare quality at Utah clinics (2016 data). Published by Utah Dept. of Health