Quality and Patient Experience
While the quality of care at academic medical centers is generally high, there is still considerable room for improvement. Medical students should look carefully at these care measures; one cannot assume that either reputation or greater intensity of care ensures better care. Table 3 shows the patient experience and quality measures for each of the hospitals studied. The percentage of patients that gave their hospital a "high" rating was above the national average for 20 of the 23 hospitals. For every hospital examined, the percentage of patients who would definitely recommend the hospital to family or friends was at or above the national average. Forty-seven of the 110 safety measures recorded for this cohort of hospitals, or approximately 43 percent, were better than the national average. Approximately 74 percent and 48 percent of the hospitals met or exceeded the national average for administration of pneumonia and influenza vaccinations respectively, and 87 percent met or exceeded the national average for smoking cessation counseling.
Table 3. Patient experience and quality data for 23 teaching hospitals
Table 3a. Patient-Reported Experience
Table 3b. Patient Safety
Table 3c. Pneumonia Process of Care
| Hospital |
Table 3a. Patient-Reported Experience |
| High hospital rating |
Recommend hospital |
Pain control |
Medicine explained before given |
Given info about recovery |
| Cedars-Sinai Medical Center |
77% |
80% |
66% |
52% |
81% |
| NYU Langone Medical Center |
64% |
74% |
65% |
59% |
80% |
| Mount Sinai Medical Center |
64% |
70% |
66% |
54% |
81% |
| Ronald Reagan UCLA Medical Center |
81% |
85% |
71% |
58% |
88% |
| New York- Presbyterian Hospital |
74% |
80% |
66% |
59% |
80% |
| University of Pittsburgh Medical Center |
65% |
70% |
65% |
57% |
86% |
| Northwestern Memorial Hospital |
75% |
80% |
67% |
61% |
78% |
| Massachusetts General Hospital |
79% |
89% |
71% |
63% |
88% |
| Cleveland Clinic |
79% |
83% |
71% |
63% |
85% |
| Hospital of the University of Pennsylvania |
72% |
79% |
71% |
63% |
87% |
| University of Michigan Medical Center |
75% |
83% |
69% |
65% |
90% |
| Brigham and Women's Hospital |
80% |
87% |
74% |
63% |
86% |
| Johns Hopkins Hospital |
77% |
82% |
70% |
62% |
86% |
| Indiana University Health (Clarian Health) |
71% |
73% |
66% |
58% |
85% |
| Barnes-Jewish Hospital/ Washington University |
69% |
77% |
66% |
65% |
87% |
| UCSF Medical Center |
72% |
82% |
70% |
66% |
84% |
| Duke University Medical Center |
77% |
84% |
69% |
67% |
89% |
| Vanderbilt University Medical Center |
75% |
81% |
71% |
64% |
88% |
| University of Washington Medical Center |
72% |
79% |
67% |
62% |
86% |
| Stanford Hospital and Clinics |
73% |
81% |
69% |
64% |
83% |
| St. Mary's Hospital, Mayo Clinic |
81% |
85% |
69% |
70% |
87% |
| Scott & White Memorial Hospital |
72% |
77% |
69% |
63% |
85% |
| University of Utah Health Care |
76% |
81% |
68% |
62% |
86% |
| United States average |
68% |
70% |
70% |
62% |
83% |
| Hospital |
Table 3b. Patient Safety (per 1,000 patient discharges) |
| Severe pressure sores |
Falls and injuries |
Blood infection from large vein catheter |
Infection from urinary catheter |
Signs of un-controlled blood sugar |
| Cedars-Sinai Medical Center |
0.24 |
0.29 |
0.35 |
0.27 |
0.00 |
| NYU Langone Medical Center |
0.16 |
0.37 |
0.28 |
0.04 |
0.00 |
| Mount Sinai Medical Center |
0.38 |
0.33 |
0.57 |
0.05 |
0.14 |
| Ronald Reagan UCLA Medical Center |
0.71 |
0.79 |
0.71 |
0.47 |
0.24 |
| New York- Presbyterian Hospital |
0.33 |
0.46 |
0.61 |
0.69 |
0.06 |
| University of Pittsburgh Medical Center |
0.16 |
0.74 |
0.87 |
0.29 |
0.02 |
| Northwestern Memorial Hospital (Chicago, IL) |
0.24 |
0.24 |
0.38 |
0.21 |
0.04 |
| Massachusetts General Hospital |
0.17 |
0.48 |
0.91 |
0.31 |
0.09 |
| Cleveland Clinic |
0.69 |
0.27 |
0.47 |
0.81 |
0.22 |
| Hospital of the University of Pennsylvania |
0.10 |
0.50 |
0.60 |
0.45 |
0.15 |
| University of Michigan Medical Center |
0.28 |
0.63 |
0.52 |
1.88 |
0.00 |
| Brigham and Women's Hospital |
0.00 |
0.48 |
1.09 |
0.61 |
0.27 |
| Johns Hopkins Hospital |
n/a |
n/a |
n/a |
n/a |
n/a |
| Indiana University Health (Clarian Health) |
0.06 |
0.45 |
0.37 |
0.17 |
0.06 |
| Barnes-Jewish Hospital/ Washington University |
0.29 |
0.60 |
0.97 |
0.12 |
0.07 |
| UCSF Medical Center |
0.12 |
0.49 |
0.74 |
0.49 |
0.00 |
| Duke University Medical Center |
0.50 |
0.43 |
0.53 |
0.71 |
0.11 |
| Vanderbilt University Medical Center |
0.53 |
0.22 |
1.18 |
0.57 |
0.09 |
| University of Washington Medical Center |
0.48 |
0.38 |
1.05 |
2.48 |
0.10 |
| Stanford Hospital and Clinics |
0.11 |
0.45 |
0.28 |
0.34 |
0.11 |
| St. Mary's Hospital, Mayo Clinic |
0.03 |
0.46 |
0.86 |
0.86 |
0.12 |
| Scott & White Memorial Hospital |
0.00 |
0.67 |
0.40 |
0.13 |
0.04 |
| University of Utah Health Care |
0.17 |
0.77 |
0.34 |
0.43 |
0.00 |
| United States average |
0.14 |
0.53 |
0.37 |
0.36 |
0.06 |
| Hospital |
Table 3c. Pneumonia Process of Care |
| Pneumonia vaccine |
Influenza vaccine |
Smoking cessation advice |
| Cedars-Sinai Medical Center |
99% |
99% |
97% |
| NYU Langone Medical Center |
100% |
98% |
100% |
| Mount Sinai Medical Center |
98% |
99% |
100% |
| Ronald Reagan UCLA Medical Center |
92% |
83% |
85% |
| New York- Presbyterian Hospital |
92% |
90% |
98% |
| University of Pittsburgh Medical Center |
100% |
98% |
100% |
| Northwestern Memorial Hospital |
99% |
97% |
100% |
| Massachusetts General Hospital |
96% |
98% |
98% |
| Cleveland Clinic |
98% |
96% |
100% |
| Hospital of the University of Pennsylvania |
99% |
86% |
100% |
| University of Michigan Medical Center |
97% |
89% |
100% |
| Brigham and Women's Hospital |
100% |
97% |
96% |
| Johns Hopkins Hospital |
91% |
89% |
100% |
| Indiana University Health (Clarian Health) |
95% |
78% |
99% |
| Barnes-Jewish Hospital/ Washington University |
92% |
91% |
100% |
| UCSF Medical Center |
94% |
88% |
100% |
| Duke University Medical Center |
100% |
98% |
99% |
| Vanderbilt University Medical Center |
87% |
84% |
99% |
| University of Washington Medical Center |
97% |
100% |
100% |
| Stanford Hospital and Clinics |
97% |
99% |
98% |
| St. Mary's Hospital, Mayo Clinic |
96% |
87% |
100% |
| Scott & White Memorial Hospital |
96% |
89% |
100% |
| University of Utah Health Care |
96% |
82% |
100% |
| United States average |
95% |
93% |
98% |
Notes:
From Hospital Compare: accessed 10/15/12: data updated 10/11/12.
Some data submitted to HHS was based on a sample of cases from the hospital.
The Johns Hopkins Hospital was excluded from the analysis of patient safety variables due to the absence of reported data.
Hospitals are ranked in order from the highest Hospital Care Intensity (HCI) index to the lowest.
View this table for 236 teaching hospitals.
Download Excel version of this table.