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U.S News Introduces New Methodology for Ranking Rehabilitation Hospitals

In March 2019 U.S. News & World Report announced it would introduce a new methodology for the Best Hospitals for Rehabilitation rankings that will be published in July 2020 (AHT, 3/7/2019). The new methodology will incorporate objective measures of patient outcomes and other aspects of quality relating to rehabilitation physicians which U.S. News measures using an annual national survey (U.S. News expert opinion physician survey).

The updated rankings will use data from the American Hospital Association annual survey database, the Centers for Medicare and Medicaid Services (CMS) Inpatient Rehabilitation Facility Compare (IRF Compare) reporting program, the U.S. News expert opinion physician survey, and the Model Systems in Rehabilitation program supported by the National Institute on Disability, Independent Living, and Rehabilitation Research.

Measures that will be part of the 2020 methodology include:

STRUCTURAL MEASURES
Number of Medicare patients treated with stroke
Number of Medicare patients treated with brain injury (traumatic)
Number of Medicare patients treated with spinal cord injury (traumatic)
CARF International accreditation (% of hospitals that were CARF accredited)
Model System (% of hospitals that were designated Model Systems)
Advanced technologies (out of 9)
Patient services (out of 16)

PROCESS MEASURES
Influenza vaccination rate of healthcare personnel (out of 100)
Influenza vaccination rate of patients (out of 100)
Expert opinion score (% of rehabilitation physicians who nominated the hospital)

OUTCOME MEASURES
Preventing 30-day readmissions after discharge (out of 100)
Preventing hospital readmissions during rehabilitation care (out of 100)
Successful discharge to home and community (out of 100)

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