Analysis of four hospital ranking systems found each uses different criteria and produces different results.Health Aff (Millwood). 2015;34:423-430.
National hospital ratings systems share few common scores and may generate confusion instead of clarity.
Austin JM, Jha AK, Romano PS, et al. Health Aff (Millwood). 2015;34:423-430.
One strategy to improve patient safety is public reporting of performance data, and hospital quality ratings have proliferated. In this study, researchers examined the extent of agreement among hospital ratings issued by U.S. News & World Report, HealthGrades, The Leapfrog Group, and Consumer Reports. Each rating system has a different emphasis, varying inclusion and exclusion criteria, and focuses on different measures of quality. There is very little agreement among the ratings for either high or low performance—not one hospital was rated as a top performer across all four ratings—which makes these ratings challenging for consumers to interpret or use in decision making. These findings are consistent with prior work demonstrating variability in surgical quality rankings. The authors call for transparency in how ratings are constructed and clear communication with consumers to facilitate informed decisions regarding their care. A recent AHRQ WebM&M interview with Leah Binder, President and CEO of The Leapfrog Group, explored the development of the Hospital Safety Score and Leapfrog Hospital Survey.
The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study of US hospitals.
Brooks Carthon JM, Lasater KB, Sloane DM, Kutney-Lee A. BMJ Qual Saf. 2015 Feb 11; [Epub ahead of print].
AHRQ presses on: no rule yet, but agency taps 10 safety organizations.
DerGurahain J. Mod Healthc. November 10, 2008;38:8.
10 years, 5 voices, 1 challenge.
Larkin H. Hosp Health Netw. October 21, 2009.
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Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.
Oakbrook Terrace, IL: The Joint Commission; January 2010.