100 Top Hospitals

Truven Healthcare ^ | 3-6-17 | IBM Watson

[spintreebob]

Based on the results of this year's study, if all Medicare inpatients received the same level of care as those treated in the award-winning facilities:

Nearly than 89,000 additional lives could be saved;

Over 61,000 additional patients could be complication free;

Over $5.6 billion in inpatient costs could be saved;

The average patient stay would decrease by half a day;

Over 300,000 fewer discharged patients would be readmitted within 30 days;

Patients would spend nine minutes less in hospital emergency departments per visit.

If the same standards were applied to all inpatient care, the impact would be even greater.

[spintreebob]

45 winners are in the Rust Belt that went for Trump.

20 winners are in the South Atlantic Coast VA to FL.

11 are in OK-TX-LA.

17 are in the Mountain States.

5 are in WA-OR-CA. 1 is in MA.

94% are in fly-over-country.

6% are in Progressive land.

How does this disparity impact people's views of healthcare? Obamacare fans have the worst hospitals.

And why do the Blue coasts have the worst hospitals?

[BenLurkin]

Because they have made the most “progress” in health care.

[forgotten man]

I counted two in California.

[AC Beach Patrol]

That list is laughable. Mass General, Dana-Farber, Beth Israel, Children’s Hospital in Boston are always among tthe top 10 but didn’t even make this top 100.

[Stentor]

And why do the Blue coasts have the worst hospitals?

Thanks. You can have Podunk community medical center. I'll keep my choice of Thomas Jefferson University Hospital, University of Pennsylvania Hospital, or Temple University Hospital, depending on what goes wrong.

[diplomatic_immunity]

I am employed by one of the major teaching hospitals on the list. These statistics are very illuminating:

Many reasons for the disparity: An emphasis on compassionate care, a willingness to invest in innovation rather than keeping old equipment running, strong community involvement and media relations, a tenacious work ethic not found in some areas of the country and, most importantly, careful monitoring of the payor mix so as to not incur too many losses from Medicaid and other governmentally “funded” providers.

Hospitals that admit frequent fliers with no verifiable means of payment on charges incurred are doing themselves and the neighboring community a disservice. Healthcare is a business and hospitals must be run like a corporation in order to thrive. I don’t personally believe in turning away the indigent for emergency care but I also do not subscribe to the Medicaid Hostel mindset either.

[caddie]

The hospitals on the top 100 list may be better run, but, of the ones I know on the list, they are overwhelmingly located in affluent suburbs with employed, responsible, people living in the area by-and-large. Not caring for Amish, gang bangers, illegals, homeless, anchor moms and babies, etc.

Sick patients and the ones who are going to be hospitalized forever get transferred to the urban, busy, high-trauma, poor, etc., hospitals tout de suite.

So I am not particularly impressed by this poll, its methodology, etc.

To pretend that better management of the hospitals nationwide would result in all the savings, efficiency, etc., mentioned, is just pure bull.

The way to run a hospital and get it included in the top 100 is easy: Only take in rich people who are socially connected, employed, responsible, etc.,

Turf away any undesirables like chronically ill, poor, people with genetic diseases, people with neurologic injury needing complex care, burn patients, immigrants with their own imported diseases and primitive health care practices, etc.

You will have great numbers.

But make no mistake, those turfed patients will just show up at another hospital. Oftentimes the hospital receiving them will have incredible experience to bear and will have a good record saving difficult and severely ill patients.

[Jane Long]

Good to see Methodist Hospital System (Houston) among the Top Teaching hospitals.

[Uversabound]

I find the best hospitals are in NY.

I found the hospitals in North Carolina terrible!

[RegulatorCountry]

Which NC hospitals did you experience? I’ve found that Duke in Durham and Wake Forest Baptist in Winston-Salem are excellent and was surprised to not see them listed.

[Gay State Conservative]

That list is laughable.

Agreed.Worse than laughable,in fact.Unless I'm mistaken they used things like death rates,readmission rates,infection rates,length of stay,etc as primary measurements.What many people don't realize is that hospitals like MGH,Columbia-Presbyterian,Cleveland Clinic,Mayo Clinic,UCLA,etc get the very toughest cases in medicine/surgery.As a result things like death rates and length of stay are gonna be higher than at "Mid County Community Hospital",which specializes in tonsillectomies.

I worked for years at one of Boston's major hospitals and saw people flying in daily for care from the four corners of the world (and the four corners of North America).

One must wonder what motivated the publication of this list.

[Uversabound]

I forget the name now its the teaching hospital huge place and family was there for cancer treatments.

Huge place.

[RegulatorCountry]

In which NC city was the hospital located?

[Georgia Girl 2]

I had my tonsils taken out at Baptist Medical in Jax at age 10. :-)

[Gay State Conservative]

I find the best hospitals are in NY.

Having worked for one of Harvard's major teaching hospitals for a couple of decades I have a pretty fair knowledge of where to get the best medical care.

I'll mention cities rather than specific hospitals: Boston,NYC (Manhattan),Baltimore,Philly,DC,Durham NC (Duke),Atlanta,Cleveland,St Louis,Rochester,MN (Mayo Clinic),Dallas,San Francisco,LA.

The more serious the particular condition you have is,or the more uncommon it is,the more you want to be getting care in one of the major hospitals in one of these cities.

[CdMGuy]

This top 100 list is absurd. Just about every one of the best hospitals in California is not listed. One listed is Scripps Hospital in La Jolla. However, there are two Scripps hospitals in La Jolla, and the best one, the one on just about every other best hospital list, is Scripps Green Hospital.

As to Chino Valley Medical Center in Chino, it is virtually unknown.

[sevinufnine]

“I found the hospitals in North Carolina terrible!”

then you’ve never been treated at UNC. it was AMAZING. Drove my son there multiple times from south-western Virginia (where I’d never allow anyone to operate on ANY family memeber). He needed vein surgery to remove a bunch of “extra” ones and reroute others. they did a fantastic and thorough job. in recovery, the guy on the left had just had liver transplant. kid on the right had reconstructive surgery on his sinuses. (at my local hospital I have a friend who broke their foot and were sent home after xrays being told it wasn’t broken. 2 days later pain was so great drove to another hospital who informed them it was broken in 3 places!@@0

So, while my kid is waking up I go for lunch. Real, live sushi chef in the canteen. talk about nice....and a nice farmer’s market going on in the massive lobby.

best part? they knew who you were when you showed up. knew why you were there...no wait....friendly and informative, professional. I’d never thought in my days a hospital could be that wonderful.

Oh, and the hospital food was excellent too.

[buckalfa]

Err, great charting versus actual great care?

[Albion Wilde]

94% are in fly-over-country. And why do the Blue coasts have the worst hospitals?

Because they give the most welfare, and have the largest cities; therefore they have the most emergency room horror cases of the chronically ill poor or shootings, whose cases drag down all averages.

[onedoug]

St. Francis Downtown – Greenville, SC