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Quality and Patient Experience

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.


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