The Top 100 Hospitals- Really?????? - page 2

Two of the local hospitals in the Sacramento area were put on this list. The interesting thing is that in the community (and among those in health care), they really aren't known as the better... Read More

  1. by   meownsmile
    Fact is,, if they have say 800 hospitals in their surveys,, and there are 6 model criteria they catagorize then it doesnt take much to be in their top 100 of something (one category or another).
  2. by   NRSKarenRN
    for the past decade, solucient has consistently identified benchmark practices by using solely objective statistical analyses of public data sources, and by constantly improving and refining the study performance measures, thresholds for inclusion, and methodologies.

    the main steps we take in selecting the 100 top national benchmark hospitals are:
    • building the database of hospitals, including special selection and exclusion criteria:
      this study focuses on short-term, acute care, non-federal u.s. hospitals that treat a broad spectrum of patients. the data come from public sources including the medicare provider analysis and review (medpar) data set, the centers for medicare & medicaid services (cms) standard analytical file (saf) outpatient data set, and the medicare cost report.
    • classifying hospitals into comparison groups according to bed size and teaching status:
      • major teaching hospitals
      • teaching hospitals
      • large community hospitals
      • medium community hospitals
      • small community hospitals
    • scoring hospitals on a set of weighted performance measures centered on clinical excellence, operating efficiency and financial health, and responsiveness to the community:
      1. risk-adjusted mortality index
      2. risk-adjusted complications index
      3. risk-adjusted patient safety index
      4. core measures score
      5. severity-adjusted average length of stay
      6. expense per adjusted discharge, case mix- and wage-adjusted
      7. profitability (operating profit margin)
      8. cash to total debt ratio
      9. growth in patient volume
    • determining the 100 top performers by ranking hospitals relative to their comparison group
    for full details, the 2006 100 top hospitals study abstract is available! click here for more information or to order.
  3. by   caroladybelle
    After reviewing this list, I have to say

  4. by   HappyNurse2005
    how are ya'll seeing this list? the way it looks to me, you have to pay $1200 to see it......
  5. by   gerry79
    I will trust US News and World Reports list of best hospitals. It seems a bit more objective.
  6. by   HisHands
    ditto... how do you see it?
  7. by   miko014
    I don't know about the money involved, but I do know that my hospital is on the Solucient list, the US News & World Report list for cancer, heart and heart surgery, and ENT, we are one of the top 100 companies to work for this year (I kinda laugh at that one), and we won some stupid Press Ganey award (as I'v stated, PG can kiss my you-know-what)...I don't know if that means anything, but if you are saying that some lists are better than others, I guess they have some things in common....maybe. I don't know how all of that works, but I hope to high heaven that they have more criteria than just $$.
  8. by   NRSKarenRN
  9. by   Fiesta Red
    I called one of the area hospitals in question. They stated that it was free, and that they paid nothing.
  10. by   NeosynephRN
    I did clinicals at a "top 100 hospital" and the nurses there told me that it was paid for. I do not work there, and I did not do the research, but I do trust the nurse that told me this. Just sharing my experience.
  11. by   Lilnurse0803
    I wondered the same thing as you, caeiluna. It could mean one of two things: (1) The NY hospitals are too cheap to pay for the "honor"; or (2) This committee doesn't think NY has good hospitals. How sad!!!!

    I think NY has some excellent hospitals, however, it probably means we don't need to be on some list to show how worthy we really are of such an honor.

    Quote from caeiluna
    ???? No NY hospital? I wonder how they came up with this list.