Navigation Links
Report Cards for Hospitals May Be Misleading
Date:9/11/2009

Ranking by death rates alone doesn't measure severity of cases, researchers say

FRIDAY, Sept. 11 (HealthDay News) -- A new study questions the value of hospital report cards and national rankings when it comes to neurology and neurosurgery.

Researchers with Loyola University Health System in Chicago say the mortality index, a statistic to gauge the number of deaths a facility has in a given area of medical care, may be inflated -- indicating a higher-than-normal death rate -- at hospitals that specialize in severe traumas, have busy emergency departments or have high numbers of patients on government-subsidized Medicaid.

"A hospital with a lower mortality index may not be a better hospital for patient care, but rather a place where the patient mix has been refined or limited," study senior author Dr. Thomas Origitano, chairman of the Loyola medical school's department of neurological surgery, said in a university news release.

The study authors, whose findings are available online in advance of publication in an upcoming print issue of the Journal of Neurosurgery, say their review of neurosurgical deaths at 103 academic medical centers shows that the mortality index skews against hospitals that do the following:

  • Take on complex cases transferred from other hospitals.
  • Perform non-elective surgery, such as spine infections, more often than elective surgeries, such as decompression of a pinched nerve. Elective surgeries, they note, are only done when a patient is considered healthy enough for the procedure while non-electives tend to be for more severe cases and must be performed regardless of other health factors.
  • Operate Level 1 trauma centers, which specialize in handling the most severe cases of emergency medicine, such as gunshot wounds or accident-related head and neck injuries.
  • Treat a large Medicaid population, a group the researchers noted typically has "poor access to medical care, are poorly educated in health and hygiene, are uninsured and present only once their symptoms have become severe."

The researchers also said that using a facility's reputation as a key ranking criteria, which many national evaluation systems do, "is at best subjective" and may mislead patients.

There is no "definitive or reliable source for rating the quality of overall neurosurgical care," the researchers concluded.

More information

The U.S. Department of Health and Human Services has more about comparing hospitals.



-- Kevin McKeever



SOURCE: Loyola University Health System, news release, Sept. 8, 2009


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Virginia Tech Report Has National Importance
2. New Study Reports High Injury Rates for Hotel Workers, Even Higher Rates for Women and Nonwhites
3. GAO Report Confirms: Medicare Underpays for Anesthesia Services; Nurse Anesthetists Assure Seniors Access to Safe Anesthesia Care
4. Haemacure Reports Third Quarter 2007 Results
5. Report on patients access to cancer drugs uses flawed methods to reached flawed conclusions
6. Biotech Finishes on a High in August, Burrill Report Says
7. First-Ever List of the 5,000 Fastest-Growing Businesses Reports Total Revenue of $194.5 Billion
8. Consumer Reports Analysis: Drugs for Nerve Pain, Fibromyalgia Effective, But Not Always Best
9. MDS Reports Third Quarter 2007 Results
10. First New York/New Jersey Health Care Report Card Released
11. Authentidate Holding Corp. to Report Fourth Quarter and Fiscal 2007 Year End Results on Thursday, September 13, 2007
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Report Cards for Hospitals May Be Misleading
(Date:10/13/2017)... ... October 13, 2017 , ... PurhealthRX , a leading Health and ... Applying the Purzorb™process to full spectrum CBD oil will revolutionize the rapidly growing CBD ... that can be easily incorporated into liquid products, while reducing costs to end users. ...
(Date:10/13/2017)... CT (PRWEB) , ... October 13, 2017 , ... ... long-term care services, staged a mock evacuation of the facility as part of a ... Shelton Fire Department, Echo Hose EMS and Shelton City Emergency Manager, as well as ...
(Date:10/13/2017)... ... 2017 , ... Ellevate Network, the leading network for professional women, brought together ... equality at their inaugural Summit in New York City in June. The event was ... of over 3 million. To watch the Mobilize Women video, click here . ...
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... ... will be giving viewers the lowdown on sciatica in a new episode of ... that focuses on current events and innovation and investigates each subject in-depth with ...
(Date:10/13/2017)... ... October 13, 2017 , ... “America On The Brink”: the ... “America On The Brink” is the creation of published author, William Nowers. Captain ... As a WWII veteran, he spent thirty years in the Navy. Following his ...
Breaking Medicine News(10 mins):
(Date:9/22/2017)... DIEGO , Sept. 22, 2017 AVACEN ... medical device is now successfully helping those with the ... Fibromyalgia diagnosed Amanda in Essex, ... dressed and washing my hair, experiencing no sleep at ... in painful spasm… I cannot recommend [the AVACEN 100] ...
(Date:9/18/2017)... , Sept. 18, 2017 EpiVax, ... of bioinformatics and immune engineering, today announced ... influenza A (H7N9) vaccine. ... to seasonal influenza and presents a challenge ... prior exposure to be effective. Using state-of-the-art ...
(Date:9/12/2017)... FRANCISCO , Sept. 12, 2017  ValGenesis ... Management Solutions (VLMS), is pleased to announce the ... a member of its Board of Directors and ... ValGenesis VLMS enables life science companies to manage ... the use of paper in this process. Furthermore, ...
Breaking Medicine Technology: