Best Children's Hospitals Honor Roll

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NYP

Although both Cornell and Columbia are ranked together as of the partnership it is long known within new york that Columbia is the big center that carries Cornell. Although separate faculty, the faculty at Columbia are world renowned for their expertise..and I am saying this as an unbiased physician at a different system!!!! Columbia is top notch...

Johns Hopkins Baltimore

Johns Hopkins may be among the "best", but they rip desperate parents off. Does anyone at Johns Hopkins know that it's illegal to balance bill Medicaid patients? Not only do they do this every single day, but they make these poor, frightened parents pay up front, an exhorbitant fee for the doctor, and a separate charge for the use of the room! I don't care how skilled the doctors might be, and I do not mean to imply that a child's illness should ever come down to dollars and cents, but how compassionate can this place be if they take advantage of parents when they are most vulnerable? How committed to these children and familes are they, really?

Ranking's are misleading

Please do not go by these rankings as they are not representative of the actual care available to our little childrens in these hospital. They are mere publicity stunts which will give hospitals more ability to extract money from patients and insurance companies.

Recently I had a very bad experience with one of the top hospital in the list (Texas Children's Hospital (TCH)) in Houston where my daughter was admitted after being diagnosed with severe pneumonia. Not only the doctors and nurse staff had were bad in their service; doctors would not be available till you call them even then would take long time to see the patient; though most nurses were good there were some of the nurse staff those were lacking experience in proper patient care.

My daughter had very high fever, required continuous oxygen and IV but the doctor there were not only able to treat her properly ( running with high fever for more than 3 days after hospitalization) but also they were in hurry to give her discharge with she still having fever and requiring oxygen ( at one time the doctor even said that he is under pressure from hospital and the insurance company to give discharge! though I checked with insurance and they said that they don't enforce anything on doctors or patients). Above this, when I tried to raise my concern to treatment(antibiotics given earlier were not working) they started saying that the antibiotics are working but the patient needs to walk around ( when she could barely get up from the bed) and when I objected they started threatening me with calling the social workers for me denying treatment to my child. I did call the hospital hotline and talk to family advocates about the care but they didn't do much! Finally my daughter had started feeling better after the strongest antibiotic was given ( after we raised our concern) and I decided to take her back home.

I have one of the best Insurance (PPO with no limits on hospitalization etc.) but they had me in this situation. I cannot imagine these hospitals doing to the uninsured or the underinsured.

I wanted to raise this issue so that other parents like me don't fall into their trap and don't go by rankings.

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Survey Criteria

I will begin by saying that I am a pediatric nurse at Johns Hopkins. Yes, we are in the top 10 for the Pediatric Ranking list and we have been ranked #1 on the overall hospital list for 10+ years. I love my job, I love my facility and it is usually the hospital of choice for my family members. But not always.

For those of you that question the rankings process, good for you for questioning, instead of blindly following and believing. But, I feel comfortable in saying, the rankings are not political or subjective. There is established criteria so that all facilities are graded equally and objectively. To not be listed on the 'best list' certainly does not mean that a certain hospital or doctor is not excellent, it just means that on the OVERALL score (of MANY, MANY items), it did not rank in the top percentage.

For each of the hospitals listed in the rankings, I could tell you good and bad. For each of the hospitals I have seen mentioned in the comments that were not listed on the rankings, I can tell you good and bad. But, to be honest, the ones that appear in the rankings, I know of many more 'good' stories and for the ones not in the rankings, I know of many more 'bad' stories. There have been very few mentioned that I do not know at all.

I agree with the poster that said you need to pay attention to the 'specialties' listings. They will help more than anything else. If your child needs a certain type of care, go for the best you can find/afford. If you want a specific procedure for your child, interview the facilities and find who does that procedure. At Hopkins, we have no problem refering a child to CHOP (Philadelphia) or Pitt (Pittsburgh) or wherever, when that child's condition is better suited to another facility. I would worry most about a hospital or a physician that WOULDN'T want to refer someone out, at least for a second opinion.

Hopkins is a wonderful place. We are located in a horrible part of town, but we work with the neighborhoods to help them to grow stronger. Like all facilities we are only as strong as our weakest link. If you are ever at any facility and feel that something is not right (i.e. someone mentioned housekeeping), then make your feelings known. Call for the supervisor if the department involved and voice your opinion. Most are so very glad to hear what you have to say. I know that in places with a strong union, supervisors truly appreciate being notified as it takes specific complaints to be able to take action against an employee. If they do not have the specifics, their hands are tied and that employee continues to do a substandard job.

I wish all of you the best of luck in finding the right care for the children in your life.

re: Rankings

Dear SIr/Mam,

If I am understanding your article correctly, you have ranked the top 56 Children's Hospitals. Can you please send me that list? Thank you!

Sincerely Yours,

Paul Grossfeld, M.D.

Division of Pediatric Cardiology

UCSD School of Medicine

Chronic Splenomegaly and Hypersplenism, no etiology found

We're looking for 2nd opinion for splenectomy. Our son is very healthy, has been under doctors care for this since he was 6, now he's 19. Despite the extensive workup, the etiology of his splenomegaly and hypersplenism remains unknown. This is not common... they don't see alot of this, it is a rare case. The concern now is that his CBC is worse than before, his spleen is in a hypersplenic state and they don't know why. His Dr. is recommending a splenectomy. In June, CBC: WBC 1.9, PL 76K... In July CBC: WBC 3.0, PL 64K... a year ago: PL 85K. Dr. states platelet/white counts are gradually going down, feels that spleen is trapping good cells too. One year ago(7/08), in an US of the abdomen, his spleen measured 24 cm and length compared to 22 cm previously(9/06). The spleen is palpable 10 cm below the left costal margin. Dr. recommends taking spleen out, and wants us to get another opinion. Looking for a specialist in this field, who may have seen this before and can help solve this mystery or give any new suggestions to help our son.

Thank you very much,

Kevin and Rita Gerhardt

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