America’s Best Hospitals Award Methodology
The Women’s Choice Award has identified America’s Best Hospitals across our nation to help women make smart healthcare choices. Our goal is to simplify your choice of hospitals as we understand how this critically important decision can impact you and your family. Being treated with the proper level of care impacts your health, well-being and healing so our goal is to identify those hospitals that have demonstrated the highest level of quality care to their patients, with a special focus on the female experience.
Being named and recognized as a hospital of choice among women is an honorable achievement as it represents the strongest and most important consumer message in today’s healthcare marketplace. Considering that women account for 90% of all healthcare decisions for her and her family, being a hospital of choice women trust is commendable.
Our methodology is unique in that it is the only national list that simplifies a women’s choice when selecting a hospital. Our understanding of what matters most to women when selecting a hospital is based on surveys of tens of thousands of women, as well as research conducted in partnership with the Wharton School of Business on what drives the consumer experience for women vs. men. This research led us to understand that we cannot separate clinical performance from patient experience. Furthermore, all of the methodologies below take into consideration the female recommendation rating based on patient feedback.
America’s Best Hospitals for Patient Safety Methodology
The America’s Best for Patient Safety award identifies those hospitals that have had a low incidence of problems arising from surgical errors, and infections. The hospitals that report their frequency to The Centers for Medicare and Medicaid Services (CMS) are ranked for each of twelve measures. Here is the complete list:
- Deaths among Patients with Serious Treatable Complications after Surgery
- Collapsed lung due to medical treatment
- Serious blood clots after surgery
- A wound that splits open after surgery on the abdomen or pelvis
- Accidental cuts and tears from medical treatment
- Serious complications
- Central line-associated blood stream infections (CLABSI)
- Catheter-Associated Urinary Tract Infections (CAUTI)
- Surgical Site Infection from colon surgery (SSI: Colon)
- Surgical Site Infection from abdominal hysterectomy (SSI: Hysterectomy)
- Methicillin-resistant Staphylococcus Aureus (MRSA) Blood Laboratory-identified Events (Bloodstream infections)
- Clostridium difficile (C.diff.) Laboratory-identified Events (Intestinal infections)
Hospitals can be eliminated from consideration for the following:
- Not reporting on at least 4 of the surgical complication measures (1-6) or 4 of the infection measures (7-12),
- Having a below average patient recommendation rating,
- Ranking in the bottom 5% for any one of the measures,
- Not implementing surgical checklists.
For the remaining hospitals, we averaged their rankings for all the measures (weighted slightly toward surgical errors as a result of our women’s survey) and cut off our award list with those that averaged in the top third nationally. This resulted in a list of 311 hospitals that earned the 2015 America’s Best for Patient Safety Award.
America’s 100 Best Hospitals for Patient Experience Award Methodology
The America’s 100 Best Hospitals scoring process is unique in that it is the ONLY national list that focuses on female patient satisfaction. The process begins with scores derived for each hospital in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) database. The score takes a subset of the questions HCAHPS uses that research and experience shows are more important to women than to men. Weight is applied to each of those questions to adjust for relative importance to arrive at a numerical score. The scoring is totally objective and uniform. The best 100 scores in each of the 4 size categories determine the America’s 100 Best Hospitals for Outstanding Patient Experience award winners.
America’s Best Hospitals for Obstetrics Award Methodology
The America’s Best Hospitals for Obstetrics scoring process is unique in that it is the ONLY national list that focuses on female patient satisfaction. Only the best hospitals selected provide obstetric services based on their exceptional scores for patient recommendation in HCAHPS surveys. Hospitals are then filtered to eliminate those with abnormal results for certain important clinical considerations, such as rates of infection or serious complications. The resulting list of over 300 award winners represents hospitals women can feel confident in choosing for their maternity needs.
America’s Best Hospitals for Heart Care Award Methodology
The America’s Best Hospitals for Heart Care scoring process is unique in that it is the ONLY national list that focuses on female patient satisfaction. These hospitals are determined first by identifying hospitals that offer a minimum number of cardiac and/or vascular services. Only hospitals that perform well clinically with regard to heart care measures, and also have a high recommendation rate, a measure that is very important to women in choosing a hospital, are selected. Data, made available by Medicare is then utilized in a method that is totally objective and uniform. No subjective considerations are used to determine the award winners. The process resulted in 290 hospitals receiving the award out of a population of over 4,600 facilities.
This method uses data released by Medicare in July 2013 that covers the four quarters ended September 30, 2012. Only those hospitals that supplied data regarding the Outcome of Care Measures were considered. The Outcome of Care Measures used were:
a)Death within 30 days of admission for heart attack
b) Death within 30 days of admission for heart failure
c) Readmission within 30 days for heart attack
d) Readmission within 30 days for heart failure
The top 25% of those hospitals are then identified based on an average ranking over those four measures. The resulting hospitals were screened based on their recommendation score from HCAHPS* data for the same period. As this is the single most important consideration used by women in selecting a hospital for themselves and their family, the only hospitals included were recommended by four out of five patients surveyed. A final screening was done to eliminate any hospital that had an abnormal CLABSI** rate as reported by Medicare.
* HCAHPS – Hospital Consumer Assessment of Healthcare Providers and Systems
** CLABSI – Central Line Associated Blood Stream Infection
America’s Best Hospitals for Orthopedics Award Methodology
The America’s Best Hospitals for Orthopedics scoring process is unique in that it is the ONLY national list that focuses on female patient satisfaction. The best hospitals for orthopedics is determined first by identifying hospitals that provided comprehensive orthopedic services and provided a minimum number of arthroscopy, joint replacement and spine surgery services, as well as onsite MRI and physical therapy. Those full service hospitals were then judged on their HCAHPS results for patient recommendations and post-operative recovery, measures that are very important to women in choosing a hospital. Hospitals could be disqualified for abnormally high rates of surgical complications and infections. Data made available by Medicare is utlizied in a method that is totally objective and uniform. No subjective considerations are used to determine the award winners.
America’s Best Breast Centers Award Methodology
America’s Best Breast Centers award recipients have all met the National Accreditation Program for Breast Centers (NAPBC) standards from the American College of Surgeons. They also carry the Seal of the American College of Radiologists as a Breast Imaging Center of Excellence (BICOE), and score well on the Centers for Medicare and Medicaid Services patient satisfaction measures, or their equivalent.
America’s Best Hospitals for Emergency Care Award Methodology
Hospitals earn the Emergency Care award if they consistently rank among the best of the 3,600 hospitals reporting on their emergency department’s performance to the Centers for Medicare and Medicaid Services (CMS). The seven measures CMS publicly reports are weighted according to the priorities of women we surveyed. Hospitals that fall within the top 25% for most or all of the most important measures can earn the award. Awards are limited to hospitals with a solid HCAHPS recommendation rating.
America’s Best Hospitals for Cancer Care Award Methodology
Hospitals were selected for the America’s Best Hospitals for Cancer Care award from those that have received accreditation from the American College of Surgeons Commission on Cancer (ACS/CoC) as either
- a National Cancer Institute (NCI) Designated Comprehensive Cancer Program,
- a Comprehensive Community Cancer Program,
- an Integrated Network Cancer Program.
Those selected hospitals were then given a score based on their patient recommendation rating from the Centers for Medicare and Medicaid Services’ (CMS) Hospital Consumer Assessment for Healthcare Providers and Systems (HCAHPS). The hospitals could then be elevated in the rankings if they offered on-site chemotherapy, radiation or hospice. NCI designated programs were additionally elevated for their cancer research activities.
America’s Best for Extended Care Award Methodology
The Extended Care award was given to those facilities that have 25 or more residents, and have received at least 19 combined stars in the four categories in the Centers for Medicare and Medicaid Services (CMS) five-star rating system. The CMS rating categories are:
- General Staffing
- RN staffing
- Quality rating
- Inspection survey rating
Recipients must also have:
- Medicare certification
- Full sprinkler systems
- No recent history of penalties or fines.
Only 400 facilities were awarded out of over 15,000 across the nation.
Remember our goal is to empower women, which happens through the sharing of information, and our corporate award recipients fund our programs which include a free consumer advocacy, educational resources, and donations to women’s causes and events.
Ladies, help us celebrate those hospitals who have earned the Women’s Choice Award by congratulating them and rewarding them with your business and referrals! Together we will continue to raise the standard of healthcare.
Being recognized as a hospital of choice among women takes the commitment of leadership and staff and ongoing devotion to providing every patient with optimal care. These hospitals will serve as an example to all hospitals while setting new standards of healthcare excellence for women, their families and their community.