America's Best Hospitals: 2009-10

msnurse14 · Jul 19, 2009, 06:46 PM

Re: America's Best Hospitals: 2009-10

I worked for Cleveland Clinic amd Mayo Clinic. CC tends to have higher nurse patient to staff ratios, good orientation, fast paced environment, cutting edge technology when it comes to surgery, and good benefits. Mayo Clinic has good pay, low patient to nurse ratios,good orientation, true self scheduling, very traditional but does traditional very well. I don't think either hospital is located in a place where I really wanted to reside. Its nice if you can find a good hospital in a place where one can truly live regardless if they are on the US News list.

MBT,RN · Jul 20, 2009, 01:29 AM

Re: America's Best Hospitals: 2009-10

Johns Hopkins is a magnet hospital, I work at Johns Hopkins Bayview with is currently working on magnet status. Did anyone's hospitals give anything out to the staff for being on the list? We got a key chain. lol

kharing · Jul 20, 2009, 12:55 PM

Re: America's Best Hospitals: 2009-10

Originally Posted by MBT,RN

Johns Hopkins is a magnet hospital, I work at Johns Hopkins Bayview with is currently working on magnet status. Did anyone's hospitals give anything out to the staff for being on the list? We got a key chain. lol

A key chain AND a window decal for our vehicles. They are pretty nice!

JustaNurse0214 · Jul 20, 2009, 03:23 PM

Re: America's Best Hospitals: 2009-10

Many seem to be under the misunderstanding that this hospital ranking is about the CARE a patient receives. NOT true. These rankings are directly related to the PHYSICIAN outcomes in a subset of specialties. So the lesson here is simple...patient experience doesn't count in these rankings, nor does the nursing care they are subjected to.
Having said that, I have a HUGE question to ask everyone who asks about working conditions and pay...

Did you NOT go through 2-3 years of nursing school? Did you not SEE the conditions you were working in??? Did you not ASK anyone what a nurse was paid????

Why are you so shocked by the workload and pay? You either have the passion for it and love it in spite of the workload and pay, or you don't. If you don't, I would recommend a career shift. If you don't LOVE this and have a passion for it, you will never be happy, and how sad is THAT????

JustaNurse0214 · Jul 20, 2009, 03:25 PM

Re: America's Best Hospitals: 2009-10

A keychain? At least they recognized you! What would you have liked? New cars for all? Unreal. Never happy! And you make the rest of us look bad. Be grateful for once.

epiphany · Jul 20, 2009, 03:39 PM

Re: America's Best Hospitals: 2009-10

Originally Posted by JustaNurse0214

Many seem to be under the misunderstanding that this hospital ranking is about the CARE a patient receives. NOT true. These rankings are directly related to the PHYSICIAN outcomes in a subset of specialties. So the lesson here is simple...patient experience doesn't count in these rankings, nor does the nursing care they are subjected to.

I didn't read the methodology of gathering this data, but I think that if some publication claims to have a list of America's BEST hospital, we have the right to assume that patient care is part of it. Otherwise they should have called it the BEST PHYSICIAN OUTCOME hospital. Sure they may give information on how they gather their data if you bother to read it on the sidelines, but the truth is(and they are well aware of it) people do come away with the impression it's based on patient care. What is the point of hospital in the first place - for them to brag about their physician outcome more than patient care?

And if a woman uses this data to inform herself that she's going to get good treatment in one of these places, what would you say to her when she's realizes she shouldn't? too bad sucker, you should have read the fine print? Don't you think it's a little disingenuous of them to make it the BEST hospital list, and they should be accountable at some level?

JustaNurse0214 · Jul 20, 2009, 03:58 PM

Re: America's Best Hospitals: 2009-10

If you go to US News and World Report, where this is written, you WILL find the explanation. There are several specialties listed and the top 10 for EACH of those is listed. The Top 10 is based on MD outcomes. So for example, in your hospital, if your docs do 100 cardiac surgeries a day and 99 live and do well, you rank high. You can have the worst of everything else, and still be Top 10.

Now, of course, in order for patients to do well, the assumption is that they get good care, but the majority of these numbers (if you go get the US News and World Report) will show you that this list is compiled based on very spoecific specialty subsets....NOT "General Surgical". It is VERY misleading. So you ask, "How do you know this?" Because I worked for one of the Top 10 in St. Louis (no names to protect someone or other....) and the Nursing Care there was horrible. And yes, they have Magnet Designation. So having the Top 10 this or that, or the award for this or that is NOT always indicative of the care one will receive. That was my point.

epiphany · Jul 20, 2009, 04:06 PM

Re: America's Best Hospitals: 2009-10

The fact that it's misleading is the whole point. That's why all this griping, including mine, is taking place.

carolinapooh · Jul 20, 2009, 04:43 PM

Re: America's Best Hospitals: 2009-10

Originally Posted by suanna

I just want to know who made USN&WR such an expert on hospitals- I have never been able to discern thier evaluation criteria. I would love to see the ANA, AMA, and/or AHA do a comprehensive review of the nations hospitals and try to give an objective evaluation. From what I can tell the main purpose of this "Best Hospitals" list is to provide a vehicle for P.R. for the hospitals that made the list.

The LAST people I want rating hospitals are these folks. Sorry - I doubt they'd be but so objective. I prefer a more neutral third party.

You can bet USNWR have their own battalion of experts on the committee that formulates this listing.

carolinapooh · Jul 20, 2009, 04:46 PM

Re: America's Best Hospitals: 2009-10

Originally Posted by Teresag_CNS

Actually, a doctor does not need a nurse; a patient needs a nurse. Nursing care is not now, and never has been, dependent upon the presence of a physician.

Really?

There's parts to this I agree with, and other parts I just can't believe.

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America's Best Hospitals: 2009-10

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