Research published in JAMA Cardiology (Journal of the American Medical Association, Cardiology) studied US News & World Report best hospitals list and 2018-2019 rankings for Cardiology and Heart Surgery. For cardiovascular care, the physician researchers indeed found lower 30-day mortality rates (better survival) and higher patient satisfaction at the top cardiac hospitals when compared with nonranked hospitals. Results applied to heart attack (AMI-acute myocardial infarction), heart failure and coronary artery bypass grafting (CABG or heart bypass). Researchers did not find lower readmission rates at the top-ranked hospitals. Published December 2018.
HealthGrades choice for the top 50 hospitals and 100 best in the US, based on clinical quality for Medicare patients over 3 years ending 2016. List shows which hospitals have held clinical excellence for 6 years (top 1%), and those for 3 consecutive years (top 2%). They examined complication rates or survival rates for 32 diagnoses (such as heart failure, COPD, pneumonia, stroke, diabetes, pancreatitis, sepsis) or surgical procedures (such as hip or knee replacement, gall bladder removal, back surgery, bowel obstruction, prostatectomy, angioplasty, valve surgery, and heart bypass)
The Baby-Friendly Hospital Initiative is a global program sponsored by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) to encourage and recognize hospitals and birthing centers that offer an optimal level of care for lactation. As of May 2018, there were 513 hospitals in the US & Puerto Rico who met the program criteria, which are based on Ten Steps to Successful Breastfeeding.
The Blue Cross and Blue Shield companies have designated national Blue Distinction Centers meeting their standards and selection criteria for bariatric weight loss surgery, cardiac (heart) care, organ transplants (e.g. adult and pediatric bone marrow/stem cell, heart, lung, liver, pancreas (adult only) transplants ), total knee and hip replacement, cancer care, maternity care and spine surgery. Quality criteria can be found from the home page. Fertility care distinction to launch Jan. 1, 2019. Interactive database; updated 2018
Lists of top 10% hospitals in specialties such as bariatric surgery, cancer care, cardiac surgery, inpatient gall bladder surgery, GI care, general surgery, hip fractures, hip or knee joint replacement, organ transplants, spinal fusion, stroke care, and more. Top hospitals listed by nation, state or region.Categories include Medical Excellence, Patient Safety and Patient Satisfaction. Consumers can choose Medical Excellence results for Overall Surgical Care only. 2019 report covers Medicare claims data and HCAHPS patient satisfaction from 2014 to 2016, or in some cases to 2017. Announcing award-winning hospitals may require a license fee to be paid. CareChex is a division of Quantros, a for-profit software solutions company, which appears to be a competitor to HealthGrades
The National Research Corporation lists the winners of its annual Consumer Choice Awards for most-preferred hospitals in selected markets. Winners were determined by general consumer perceptions on hospital quality and image in NRC’s annual Healthcare Market Guide ticker study. 2016/17 winners
Cleverley + Associates published its 2017 Top 100 Hospitals according to their Community Value Index (CVI), which balances ten measures in 4 areas: Hospital Quality, Cost of care, Pricing (charge structure) and financial viability and plant reinvestment. While detailed methodology is not available online, we like the idea of focusing on total value to patients and the community at large. Five star (top 20%) hospitals also listed
List of top 10% (460) hospitals, distinguished for their Medicare patient safety, using 2015 to 2017 data. List evaluates 14 types of hospital patient safety incidents, such as leaving foreign objects behind during surgery, pressure ulcers [bedsores], accidental cuts during medical care; deep blood clots, collapsed lung pneumothorax, postoperative hip fracture, bloodstream infection, deaths after surgical complications, and postop sepsis. Annual study released 2019 by Healthgrades
HealthGrades gave excellence awards to hospitals in 13 states for top quality in Bariatric surgical procedures such as gastric bypass and Vertical Sleeve Gastrectomy; 13 states were studied (CO, FL, IA, IL, MD, NY, NV, OR, PA, RI, TX, WA and WI), with seven states having excellent hospitals. Volume, survival rates, complication rates and length of stay were studied using 2011-2013 data. Pub. 2015
Annual report (Jan. 2018) identifies top-rated distinguished hospitals (top 5%) from evaluating Medicare data from 2014 to 2016; 38 states had hospitals that ranked in the top 5%. Mortality results (survival rates) and complication rates have been factored in for at least 21 procedures and diagnoses such as: heart bypass surgery, pacemaker, defibrillator, heart attack, heart failure, valve replacement, back & neck surgery, carotid surgery, COPD, gall bladder, hip fracture, hip replacement, knee replacement, prostate surgery, TURP, pneumonia, stroke, bowel obstruction, GI bleed, pancreatitis, diabetes hospitalization, pulmonary embolism & sepsis. Hospitals listed by state
HealthGrades lists its 5-star hospitals (Excellence Awards) in women’s care defined as labor & delivery maternity ratings, gynecologic procedures (such as hysterectomy) and Ob-Gyn services. Uses 2014-2016 All-payer from 15 states and the District of Columbia for the 2018 awards in selected states. States include CO, FL, IA, MD, NV, NY, NJ, OR, PA, RI, TX, VA, WA, WI, WV and DC.
Find hospitals that have received certification in stroke care (Primary Stroke Centers or two other stroke designations), palliative care, hip and knee, heart failure, inpatient diabetes, perinatal services or ventricular assist devices in the US. Many are listed as having Advanced programs. Other types of certification may be available. Somewhat hard to use. The Joint Commission is the leading accrediting body for hospitals.
Leapfrog named 118 hospitals to its 2018 Top Hospitals list, including 13 top children’s hospitals and 17 rural hospitals. Hospitals must have responded to Leapfrog’s Hospital Survey. Leapfrog Group is a large employer-based organization whose mission is to trigger giant leaps forward in the safety, quality and affordability of health care. The measures emphasize patient safety
Annual Healthcare Equality Index designated 418 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. Criteria include patient non-discrimination, hospital visitation, employment policies and training in LGBTQ patient-centered care. Prepared by the Human Rights Campaign Foundation, 2018
List of about 42 centers of excellence for Parkinson Disease in US and internationally (Australia, Bahamas, Canada, England UK, Germany, Israel, Netherlands, Singapore, Taiwan) that meet the criteria set by the Parkinson’s Foundation for research, comprehensive care delivery, professional education and patient outreach services
5 hospital winners were selected for the QUEST® Award for High-value Healthcare. They achieved top performance in all seven of the areas measured: cost and efficiency, inpatient and outpatient evidence-based care, mortality, safety, patient experience and appropriate hospital use.
Press Ganey’s list of Guardian of Excellence Awards in Patient Experience, and Clinical Quality were awarded to client hospitals who performed in the top 5% for the year. List also shows top 5% for Employee Engagement and Physician Engagement
The Pinnacle of Excellence Awards from Press Ganey Associates, Inc are given to their top client hospitals who have maintained highest performance in Press Ganey patient satisfaction, or clinical quality, or employee or physician engagement, for at least 3 years in a row
Mayo Clinic (Rochester, MN), Cleveland Clinic and Johns Hopkins (Baltimore) top the list of 20 US hospitals identified (from 4656 nationwide), who rank favorably in multiple specialties. Check the details to see specifics for a certain illness, since one hospital may not be ranked (by US News) as best in everything. Methodology report shows how the hospitals scored. Survival rate (30-day mortality rate) for Medicare patients and Patient Safety are two factors used in the rankings for most of the specialties. Reputation used for Ophthalmology, Psychiatry, Rehabilitation and Rheumatology. 2018-2019 ratings use Medicare data from 2014-2016
US News & World Report again named University of Texas MD Anderson (Houston, TX) and Memorial Sloan-Kettering (New York) as its 2018 leaders of the top 50 hospitals for cancer care in the US. Scoring includes survival (30-day mortality), professional reputation, designation from the National Cancer Institute and other factors. Minimum number of cases was 195 (over 3 years), of which 33 needed to be surgical cases.
Top of the Cardiac specialty list: Cleveland Clinic (Ohio) and Mayo Clinic (Rochester, MN). Top 50 hospitals ranked. See if there is one in your state. Rankings include survival ratings using Medicare data from 2014 to 2016. Hospitals ranked higher if they participated in public transparency reporting by the medical professional societies. Minimum volume of 1391 Medicare cases over 3 years, of which 500 needed to be surgical
Mayo Clinic (Rochester, MN) and Johns Hopkins (Baltimore) lead the US News & World Report list of 50 best hospitals for Diabetes and Endocrine Disorders. Uses Medicare data from 2014 to 2016 (minimum 120 Medicare patients in this specialty, over a 3-year period)
Uses 3 years of Medicare data (minimum 45 Medicare cases over 3 years), to select the top 50 best hospitals for ENT – ear, nose and throat. Top of the list: University of Michigan Hospitals – Michigan Medicine (Ann Arbor) and Stanford Health Care (California). Strong weight to Reputation scores and volume. Rankings also consider survival rates
Fifty hospitals ranked, using Medicare data 2014-2016, survival rates (30-day mortality scores), volume, reputation and other factors. Mayo Clinic and Cleveland Clinic again lead the 2018 list. GI problems, inpatient Gall bladder cases, & bowel surgery are included in this best hospitals category. Minimum 3-yr volume of 430 inpatient cases, of which 112 needed to be surgical
Mayo Clinic (Rochester, MN) and Johns Hopkins (Baltimore) again lead the list of top 50 hospitals for geriatric care, from US News & World Report. List shows hospitals that do well at treating seniors (at least 2367 cases over 3 years) combining multiple specialties. Many of the 50 have Alzheimer’s Centers. Medicare survival (30-day mortality data) from 2014-2016
Mayo Clinic (Rochester, MN) and University of Michigan – Michigan Medicine (Ann Arbor) lead the list of 2018-2019 best hospitals for Gynecology from US News & World Report. Gynecology rankings use data Medicare data from 2014 to 2016. Relative survival rates are included. Minimum 50 Medicare gynecology cases (3-yrs)
US News and World Report’s list of top 50 hospitals for kidney disease, led by Mayo Clinic and Cleveland Clinic, includes kidney transplant, major bladder procedures, renal failure conditions. Minimum volume of 192 patients over 3 years
US News & World Report’s list of top 50 hospitals for Neurology care and Neurosurgery. Mayo Clinic and Johns Hopkins again lead the 2018 list. Stroke, carotid artery stent, craniotomy and multiple sclerosis included in this category. Minimum number of Medicare cases = 237 over 3 years
Twelve hospitals listed for eye surgery, ranked using reputation scores only, no clinical outcomes data were examined (except what individual physicians responding to the survey had investigated on their own). Bascom Palmer in Miami and Wills Eye/Thomas Jefferson in Philadelphia top US News & World Report’s 2018-19 list of best hospital Ophthalmology programs
US News & World Report’s list of top 50 hospitals for hip and knee replacements and other orthopedic surgery shows Hospital for Special Surgery (New York) and Mayo Clinic (Rochester, Minn.) as the best hospitals in the US. Uses Medicare data (2014-2016), reputation scores, survival rates, patient safety and more. Minimum number of Medicare cases: 302 over three years, of which 275 must be surgical cases
McLean Hospital (Belmont, MA) and Massachusetts General (Boston) lead the 2018 best psychiatric hospitals list once again. Reputation scores only were used by US News & World Report to select these 11 hospitals. Listings address short-term acute hospital psychiatric admissions, rather than long-term residential care
Top 50 hospitals for respiratory problems, including Lung transplant, used Medicare data (including survival) expert opinion reputation, patient safety and other factors. National Jewish Health Center (Denver) and Mayo Clinic lead the list. For reference: small hospitals routinely treat pneumonia and COPD patients, and a tertiary medical center may not be necessary for effective treatment. This list by US News & World Report gives strong weight to survival, services available, reputation and other factors
Reputation scores only (from physicians), used to identify these top 12 rehab hospitals in the US – led by Shirley Ryan AbilityLab (formerly Rehabilitation Institute of Chicago-RIC) and Spaulding Rehabilitation Hospital (Mass General in Charlestown, MA). You may wish to check other factors such as CARF Accreditation (put CARF in the search box at Consumer Health Ratings) and any clinical performance results that may be available, in addition to this reputation list by US News & World Report
Thirteen hospitals identified by using reputation scores only in this US News & World Report list. Top of the list: Johns Hopkins and Cleveland Clinic
Cleveland Clinic leads the Urology list of 50 best hospitals from US News & World Report, with Mayo Clinic and Johns Hopkins tied for second place. List uses Medicare data, reputation and other factors; includes cases of prostatectomy, TURP, kidney stones and other urologic surgery. Minimum 42 cases over 3 years, of which 17 required to be surgical
List names top 100 hospitals in categories according to size and teaching status using Medicare data primarily from 2015 and 2016, other publicly reported patient satisfaction scores and results such as mortality rates, readmissions, ER times and spending at HospitalCompare. While no data are shown for individual hospital performance, Truven makes a case that as a group these hospitals outperform their peers in quality and efficiency (lower expenses). Free report shows winners’ names only; some winners received the Everest Award for also improving at the fastest rate over the long term. Methodology examines survival, complications and readmissions, patient recommendations; efficiency and profitability. Released March 2018
Watson Health (formerly Truven Health Analytics) 2018 selection of 50 hospitals with significant heart care programs listed in categories: teaching hospitals with cardiovascular residencies, teaching hospitals without such residencies, and community hospitals. List only, organized by state; study primarily used Medicare data from 2015-2016. It examined both clinical outcomes (e.g. survival or mortality, complications, readmissions) and efficiency measures. Released November 2017
Watson Health (formerly Truven Health) named 15 Top U.S. Health Systems for clinical quality and efficiency, from their study. The study selected 15 top systems from 338 systems studied. Winning systems (5 large, 5 medium and 5 small systems) averaged 8.1 hospitals. A minimum of two hospitals was required. The study examined Medicare patients (MEDPAR data), CMS HospitalCompare data, Medicare cost reports, HCAHPS patient satisfaction scores and other data from 2016 and 2017. Published April 2018
RTI International report on the methodology used in the 2018-2019 Best Hospitals rankings by US News & World Report. Medicare data were used (2014-2016), and surveys of physicians [3 years are used], hospitals were screened by having advanced services or teaching programs, and having certain number of Medicare cases. See the full criteria and methods used in this study.
Surgical Review Corporation (SRC) has designated hundreds of hospitals and surgeons, as Metabolic and Bariatric Surgery Centers of Excellence. SRC is a non-profit corporation representing bariatric surgeons. It promotes high standards of care in weight loss surgery. List of centers by state; includes US, UK, Canada, Mexico and 16 other countries
List of 439 hospitals that achieved the 2018 Healthgrades Outstanding Patient Experience Award™, representing the top 15% of hospitals nationally. Data from April 2016-March 2017 patient satisfaction survey responses: Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Six states had no winner this year.
Federal government site from CMS shows whether hospitals meet expected 30-day survival rates for heart attack and heart failure Medicare cases. National death rates were 13.2% for heart attack, 11.7% for heart failure and 3.1% for CABG (heart bypass) surgery patients. Nationally, these rates improved over the prior 3-year period. Compare hospitals in your area. The number of hospitals that were significantly worse than the national value were 24 for heart attack, 135 for heart failure and 23 for CABG. Results updated 2018, 2014-2017 data
Federal government site from CMS shows whether hospitals met expected 30-day survival rates for Medicare pneumonia patients. The national Risk-Adjusted death rates (mortality rates) were 15.7% for pneumonia. Of US hospitals measured and reported, vast majority were statistically no different than national average; 242 hospitals had worse survival rates. Find pneumonia mortality ratings under Complications and Deaths measures. Results use 2014-2017 data, updated 2018
Federal government site from CMS shows whether hospitals met expected 30-day survival rates for Medicare stroke patients. The national Risk-Adjusted death rates (mortality rates) were 14.3% for stroke, an improvement over last year’s report. Of US hospitals measured and reported, vast majority were statistically no different than national average; 70 hospitals had worse survival rates. Find stroke mortality ratings under Complications and Deaths measures. Results use 2014-2017 data, updated 2018
Federal government site from CMS shows whether hospitals met expected 30-day survival rates for Medicare COPD patients. The national Risk-Adjusted death rate (mortality rate) was 8.3% for COPD. Of US hospitals measured and reported, vast majority were statistically no different than national average; 95 hospitals had worse survival rates. Find COPD mortality ratings under Complications and Deaths. Results use 2014-2017 data, updated 2018 and each July
Study in Archives of Surgery (May 2011) evaluated whether “best hospitals,” as defined by the US News & World Report or HealthGrades, have lower mortality rates than all other American hospitals for cancer surgery. Researchers specifically looked at pancreatectomy, esophagectomy and colectomy. Used Medicare 2005-2006 data. Full article is available.
Here’s a caveat to using the US News’ Best Hospitals list. Authors looked at 5 specialties: cancer, cardiology, gastroenterology, neurology and orthopedics. They concluded that a hospital’s U.S. News score and relative ranking in the Best Hospital Rankings may be disproportionately influenced by its reputation. Article by Cua, Moffatt-Bruce and White, published in the American Journal of Medical Quality Feb. 1, 2017; link to abstract
The Annals of Internal Medicine published an analysis of The Role of Reputation in U.S. News & World Report’s Rankings of the Top 50 American Hospitals. April 20, 2010 abstract is free
Magnet Recognition Program® was developed by the American Nurses Credentialing Center, a subsidiary of the American Nurses Association, to recognize heath care organizations that provide nursing excellence. As of February 2019 there were nearly 500 US Magnet hospitals or international: Australia, Belgium, Canada, Lebanon and Saudi Arabia. Easiest to view on a map. Can also download the complete list in Excel format.