Hospitals in Texas, Florida and New York Set Pace for Improved Performance,
According to Thomson Reuters Study
Researchers Analyzed Clinical, Financial, Operational and Patient Safety Data
for 100 Top Hospitals(R): Performance Improvement Leaders
ANN ARBOR, Mich., Aug. 11 /PRNewswire/ -- 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(R): 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. Elizabeth's 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
Teaching Hospitals
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. Luke's 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 King's 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. Mary's Healthcare Center - Pierre, SD
St. Mary's 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
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SOURCE Thomson Reuters
David Wilkins, Media Relations, Healthcare, Thomson Reuters, +1-734-913-3397,
david.wilkins@thomsonreuters.com
