Some Final Thoughts on Best Hospitals

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I am an RN working in Performence Improvement at a community hosptital. I have read RTI's methodology forwards and backwards and I have have a sincere concern. How can a hospital's mortality index be .5 or .3? That means that their actual mortality over 3 years is 50 to 70 percent less than their predicted. I cannot imagine that the 3 M all patient refined APR-DRGs' prediction of expected mortality is that far off. If these mortality indexes are accurate, I think we need to find another method for predicting mortality.

Donna Cravener of NC 10:00AM August 28, 2008

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Comarow On Quality

U.S. News's Avery Comarow has been editor of the America's Best Hospitals annual rankings since they first appeared in 1990. His reporting on clinical medicine, from the latest cholesterol guidelines to robotic surgery, has been driven by the question: What does this mean to patients? And that is the perspective he brings to his observations and commentaries on the increasing number of programs by hospitals and other healthcare providers to improve care and patient safety.