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Fortune/IBM Watson Health 100 Top Hospitals Released

Fortune / IBM Watson Health have released their Top Hospitals rankings. For the rankings, IBM Watson Health researchers evaluated 3,134 short-term, acute care, nonfederal U.S. hospitals and more than 300 health systems. All research was based on the following public data sets: Medicare cost reports, Medicare Provider Analysis and Review (MEDPAR) data, and core measures and patient satisfaction data from the Centers for Medicare & Medicaid Services (CMS) Hospital Compare website.

The ranking (started by Truven Health Analytics – IBM Watson acquired Truven Health Analytics in 2016) dates back nearly three decades, to 1993.

Hospital measure domains
11 measures distributed across five domains.

  • Clinical outcomes: six clinical measures used in the scorecard. Measures include:
    • (1) risk-adjusted IP mortality,
    • (2) risk-adjusted complications,
    • (3) health care associated infections,*
    • (4) influenza immunization,
    • (5) 30-day mortality, and
    • (6) 30-day readmissions.
    • *Health care associated infections are excluded for the Small Community Hospitals class. Rankings (scores) within measure domain are relative to the winner class universe only. Lower numbers indicate the best scores.
  • Operational efficiency: three operational efficiency measures used in the scorecard:
    • (1) emergency department throughout,
    • (2) severity adjusted length of stay, and
    • (3) adjusted inpatient expense per discharge.
    • Rankings (scores) within measure domain are relative to the winner class universe only. Lower numbers indicate the best scores.
  • Patient experience: reflects the overall patient rating from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey tool. Rankings (scores) within measure domain are relative to the winner class universe only. Lower numbers indicate the best scores.
  • Financial health: measure is adjusted operating profit margin. Rankings (scores) within measure domain are relative to the winner class universe only. Lower numbers indicate the best scores.
  • Class definition: Each hospital is defined within a class based on their bed size and teaching status.
    • Major Teaching: 207 Hospitals
    • Teaching: 560 Hospitals
    • Large Community: 270 Hospitals
    • Medium Community: 812 Hospitals
    • Small Community: 831 Hospitals

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