Hospitals in Texas, Florida and New York Set Pace for Improved Performance, According to Thomson Reuters Study
Rsearchers Analyzed Clinical, Financial, Operational and Patient Safety Data for 100 Top Hospitals® : Performance Improvement Leaders
Ann Arbor, MI Thomson Reuters today released its annual study identifying hospitals that demonstrated the fastest, most consistent improvement in the nation over five consecutive years.
Nine of the 100 leading hospitals are in Texas. Florida and New York are each home to eight, and Pennsylvania boasts seven. Kentucky and Tennessee each have six winning hospitals, and California and Michigan have five apiece.
Overall, U.S. hospitals struggled to improve their performance from 2002 to 2006, the period covered by the study, but the winning hospitals illustrate that rapid, across-the-board improvement is attainable.
The study Thomson Reuters 100 Top Hospitals®: Performance Improvement Leaders, 5th Edition examined the performance of more than 2,800 U.S. hospitals on a variety of clinical, financial, operational and patient safety criteria to identify the 100 winners.
The hospital assessment project, which dates back to 1993, was formerly called the Solucient 100 Top Hospitals program. Thomson Corporation acquired Solucient, LLC, in 2006. It acquired Reuters earlier this year to form Thomson Reuters.
This study identifies superior leadership, based on the success of hospital executive teams long-term strategies for strengthening performance, said Jean Chenoweth, senior vice president for performance improvement and 100 Top Hospitals programs at Thomson Reuters. These are true Good to Great leadership teams that have focused on improving quality, efficiency, use of evidence-based medicine, and financial stability in order to better serve their patients and communities.
The study rated hospitals on eight factors patient mortality, medical complications, patient safety, length of stay, expenses, profitability, cash-to-debt ratio, and use of evidence-based medicine. Researchers evaluated 2,867 short-term, acute care, non-federal hospitals grouped into five categories: major teaching hospitals, other teaching hospitals, large community hospitals, medium-sized community hospitals, and small community hospitals.
The study analyzed publicly available Medicare cost reports, Medicare Provider Analysis and Review data, and the Centers for Medicare and Medicaid Services Hospital Compare data set. It found that the 100 Top Hospitals: Performance Improvement Leaders:
* Went from having more patient deaths and adverse safety events than expected to fewer than expected.
* Increased expenses only 2.5 percent during the five-year study period, on average, compared with a 17.4 percent increase among their peer hospitals.
* Increased profit margin from less than 1 percent to 6.9 percent.
* Reduced average length of stay by nearly a day, despite greater severity of illness.
The vast majority of peer hospitals, however, showed appreciable improvement in only three categories mortality, length of stay, and patient safety. More than half of the hospitals studied had improved survival rates (lower mortality indices), and one-third decreased their average patient stay. Fourteen percent of all hospitals showed significant improvement on the majority of patient safety measures studied.
For the remainder of the measures, the majority of peer hospitals had no statistically significant change in performance. Financially, most hospitals were treading water 84 percent showed no marked change in profitability and 77 percent showed no change in cash position. Two-thirds of the hospitals did not significantly decrease their expense per adjusted discharge, and the other third saw an increase in expense per discharge.
Given these findings, it is clear that healthcare executives are facing great challenges in aligning their organizations for continuous performance improvement, Chenoweth said. The hospitals that accomplish this feat are well deserving of this award.
Here are the winning hospitals, by category:
Major Teaching Hospitals
University Medical Center Tucson, AZ
Christiana Care Health System Wilmington, DE
Shands at the University of Florida Gainesville, FL
University of Iowa Hospitals & Clinics Iowa City, IA
Caritas St. Elizabeths Medical Center Boston, MA
Baystate Medical Center Springfield, MA
Beth Israel Deaconess Medical Center Boston, MA
Henry Ford Hospital Detroit, MI
The Mount Sinai Medical Center New York, NY
New York Hospital Queens Flushing, NY
Westchester Medical Center Valhalla, NY
Duke University Hospital Durham, NC
Allegheny General Hospital Pittsburgh, PA
Vanderbilt University Medical Center Nashville, TN
Memorial Hermann-Texas Medical Center Houston, TX
St. Bernards Medical Center Jonesboro, AR
St. Anthony Central Hospital Denver, CO
Florida Hospital Orlando, FL
Tallahassee Memorial HealthCare Tallahassee, FL
OSF Saint Francis Medical Center Peoria, IL
Saint Joseph Regional Medical Center-South Bend South Bend, IN
Via Christi Regional Medical Center Wichita, KS
Bronson Methodist Hospital Kalamazoo, MI
St. Joseph Mercy Oakland Pontiac, MI
McLaren Regional Medical Center Flint, MI
St. Cloud Hospital St. Cloud, MN
Valley Hospital Medical Center Las Vegas, NV
Saint Barnabas Medical Center Livingston, NJ
Altru Hospital Grand Forks, ND
Providence St. Vincent Medical Center Portland, OR
Saint Vincent Health Center Erie, PA
Heritage Valley Beaver Beaver, PA
PinnacleHealth Harrisburg, PA
Robert Packer Hospital Sayre, PA
Baptist Memorial Hospital-Memphis Memphis, TN
CHRISTUS Spohn Hospital Corpus Christi Corpus Christi, TX
Methodist Dallas Medical Center Dallas, TX
Medical Center Hospital Odessa, TX
Corpus Christi Medical Center Corpus Christi, TX
Meriter Hospital Madison, WI
Large Community Hospitals
Jackson Hospital Montgomery, AL
Alta Bates Summit Medical Center Oakland, CA
St. Bernardine Medical Center San Bernardino, CA
Saddleback Memorial Medical Center Laguna Hills, CA
NCH Downtown Naples Hospital Naples, FL
Flagler Hospital St. Augustine, FL
Boca Raton Community Hospital Boca Raton, FL
Rockford Memorial Hospital Rockford, IL
Hardin Memorial Hospital Elizabethtown, KY
Western Baptist Hospital Paducah, KY
Shady Grove Adventist Hospital Rockville, MD
Allegiance Health Jackson, MI
Faxton-St. Lukes Healthcare New Hartford, NY
Orange Regional Medical Center Goshen, NY
Rex Healthcare Raleigh, NC
Genesis HealthCare System Zanesville, OH
Saint Thomas Hospital Nashville, TN
Citizens Medical Center Victoria, TX
CHRISTUS St. Michael Health System Texarkana, TX
Providence Everett Medical Center Everett, WA
Medium Community Hospitals
Brooksville Regional Hospital Brooksville, FL
Oconee Regional Medical Center Milledgeville, GA
Adventist GlenOaks Hospital Glendale Heights, IL
Mary Greeley Medical Center Ames, IA
Murray-Calloway County Hospital Murray, KY
Ephraim McDowell Regional Medical Center Danville, KY
Saint Joseph East Lexington, KY
Grenada Lake Medical Center Grenada, MS
Bolivar Medical Center Cleveland, MS
San Juan Regional Medical Center Farmington, NM
Olean General Hospital Olean, NY
St. James Mercy Hospital Hornell, NY
Rutherford Hospital, Inc. Rutherfordton, NC
Medcenter One Hospital Bismarck, ND
Pocono Medical Center East Stroudsburg, PA
Cookeville Regional Medical Center Cookeville, TN
Paris Regional Medical Center Paris, TX
Carilion New River Valley Medical Center Christiansburg, VA
Aurora West Allis Medical Center West Allis, WI
Aurora BayCare Medical Center Green Bay, WI
Small Community Hospitals
St. Elizabeth Community Hospital Red Bluff, CA
Doctors Hospital of Manteca Manteca, CA
Jackson County Hospital District Marianna, FL
The Kings Daughters Hospital & Health Services Madison, IN
St. Joseph Regional Medical Center-Plymouth Plymouth, IN
Newton Medical Center Newton, KS
Mercy Regional Health Center Manhattan, KS
Baptist Hospital Northeast LaGrange, KY
Falmouth Hospital Falmouth, MA
Trace Regional Hospital Houston, MS
Hannibal Regional Hospital Hannibal, MO
Northern Montana Hospital Havre, MT
Corning Hospital Corning, NY
INTEGRIS Baptist Regional Health Center Miami, OK
Gettysburg Hospital Gettysburg, PA
St. Marys Healthcare Center Pierre, SD
St. Marys Medical Center of Campbell County LaFollette, TN
Baptist Hospital of Cocke County Newport, TN
Ennis Regional Medical Center Ennis, TX
Aurora Medical Center Two Rivers, WI
About Thomson Reuters
The Healthcare business of Thomson Reuters produces insights, information, benchmarks and analysis that enable organizations to manage costs, improve performance and enhance the quality of healthcare. Thomson Reuters is the worlds leading source of intelligent information for businesses and professionals. We combine industry expertise with innovative technology to deliver critical information to leading decision makers in the financial, legal, tax and accounting, scientific, healthcare and media markets, powered by the worlds most trusted news organization. With headquarters in New York and major operations in London and Eagan, Minnesota, Thomson Reuters employs more than 50,000 people in 93 countries. For more information, go to www.thomsonreuters.com.
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