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:2/11/2016)... ... 2016 , ... The annual list showcases the 20 Most Promising SharePoint Solution ... dedication and commitment to the SharePoint ecosystem. A panel of experts and members of ... to recognize and promote technology entrepreneurship. , The survey was made at the ...
(Date:2/11/2016)... ... ... Be Well Medical Group (Be Well) is pleased to announce ... South Columbus St, Suite 201, Alexandria, VA. Be Well Medical Group is a concierge ... of their homes, offices or at the practices’ local office. It is also one ...
(Date:2/11/2016)... ... February 11, 2016 , ... Hoggan Scientific, ... gauges used in physical therapy, occupational therapy and sports medicine clinics, hospitals, universities ... exercise and therapy, introduces its new microFET Digital Pinch Gauge. , Hoggan ...
(Date:2/11/2016)... ... 11, 2016 , ... Food Labeling for American Heart Month ... best practices in the past couple of decades, and food manufacturers and distributors ... which acts as an exceptional opportunity to revise food labels and stickers to ...
(Date:2/11/2016)... ... February 11, 2016 , ... Research led by Providence Health ... common cancer screenings, especially among women. Cancer screenings are often the best way ... The study,“What Does Medicaid Expansion Mean for Cancer Screening and Prevention: Results from ...
Breaking Medicine News(10 mins):
(Date:2/11/2016)... 11, 2016 Laboratory glassware and ... laboratories. These may range from microscope slides to large ... made from borosilicate glass because of its low weight ... other hand, started gaining popularity over the past decade ... replace glass with plastic in several applications due to ...
(Date:2/11/2016)... 2016 Potrero Medical, Inc., the developer of the ... appointment of George M. Rapier, III , MD, to ... , WellMed is one of the nation,s largest physician ... members in Texas and ... his own internal medicine practice, he has been instrumental to ...
(Date:2/11/2016)... and PORTLAND, Ore. , ... 340B optimization company, is pleased to announce the acquisition ... sole community and rural access hospitals. Along with providing ... of 340B consulting services to assist clients in navigating ... R. Love , CEO of Wellpartner. --> ...
Breaking Medicine Technology: