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    Dueling 'Best Hospital' Ratings

    U.S. News and World Report Lists Top Metro Hospitals; Thomson Reuters Lists Top 100

    Top 100 U.S. Hospitals

    The Thomson Reuters ratings use a very different system. The report considers 2,914 non-federal U.S. hospitals.

    The report evaluates hospitals according to 10 criteria: deaths; medical complications; patient safety; average patient stay; hospital costs per patient; hospital profitability; patient satisfaction; adherence to clinical standards of care; post-discharge mortality; and death and readmission rates for acute myocardial infarction (heart attack), heart failure, and pneumonia.

    Patients may not be overly concerned about a hospital's profitability, which counts as much in the rankings as in-hospital deaths or patient safety. But "operating profit margin is one of the purest measures of a hospital's financial health," the Thomson Reuters report notes.

    But according to Thomson Reuters' calculations, if all Medicare patients received the same level of care as patients in the top 100 hospitals:

    • There would be about 116,000 fewer hospital deaths.
    • More than 197,000 patients would avoid medical complications.
    • Hospitals would save $462 per patient.
    • The average patient stay would be half a day shorter.

    States in the Midwest had half of the top 100 hospitals. Southern states had 29 of the top 100, Northeastern states had 14, and Western states had six.

    Because states don't have equal numbers of hospitals, the Thomson Reuters report analyzed states for their performance over the past two years of top 100 studies.

    In this analysis, states whose hospital systems rank in the in the top 20% are:

    • Illinois
    • Indiana
    • Massachusetts
    • Michigan
    • Minnesota
    • Ohio
    • Tennessee
    • Texas
    • Utah
    • Vermont
    • Wisconsin

    States in the bottom 20% are:

    • Alaska
    • California
    • Florida
    • Hawaii
    • Nevada
    • New York
    • Rhode Island
    • West Virginia

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