Do Your Homework Before You Choose a Hospital

Choosing a hospital that scores well on quality can make it easier and safer for you to recover from a serious event, such as heart surgery, or a routine one, such as having a baby. Doing a little homework before you choose a hospital can do more than give you peace of mind.

As a physician, let me emphasize that if you need emergency hospital care, go to the closest hospital. But if you aren’t facing an emergency, take time to do some research.

The good news is that there’s a lot of information to help you make an educated choice about which hospital to use. To get the most complete picture of the best hospital for your needs, it’s helpful to check several resources. It’s also a good idea to ask your doctor and your friends for their advice and why they prefer hospital A over hospital B.

To get an overall view of quality, you might start by reviewing hospital [1] report cards that private groups produce. Hospital grades are based on different measures, and each group emphasizes some over others. For example, some grade hospitals on what doctors report about them, other on whether the hospitals use computers to order drugs, and still others on how patients recover from different kinds of surgeries.

One downside to these report cards is that hospitals aren’t required to participate in them. This could mean that there are no data about a specific hospital. Another problem is they often use data that are several years old.

If you’ve already picked a hospital based on your insurance plan or your doctor’s advice, you can find out more about its overall quality of care. You can also find out how well it compares with other hospitals in your area.

The federal government has a useful source of information on hospital quality. The Hospital Compare [2] web site lets you find out how well hospitals care for adult patients with certain conditions. The vast majority of hospitals—about 90 percent—report their quality data. Even if you’re not covered by Medicare, this information can help you compare the quality of care that hospitals provide.

Hospital Compare lets you:

• See how often a hospital gives the right treatments for certain conditions—such as heart attacks, heart failure, and pneumonia—or procedures, such as preventing surgical infections.
• View the results of care or treatment for certain conditions or procedures.
• See how much Medicare paid hospitals for certain conditions and procedures.
• Find out what hospital patients said about the care they received during a recent hospital stay. Their experiences are an important part of good quality care. Feedback from patients to more than two dozen questions is currently available. By the end of the year, information from most of the nation’s hospitals will be available on the Hospital Compare web site.

The Agency for Healthcare Research and Quality [3] developed the survey, released in April, which asked patients about their hospital experiences. We also put together a checklist [4] of questions that you can use to help you find a good hospital. These questions can also help you decide if you need more information.

The Joint Commission’s Quality Check [5] web site also lets you search for information on any hospital in the United States. This is a national, nonprofit organization that accredits hospitals to make sure they fully comply with all of the group’s quality standards. The Quality Check web site can tell you whether a hospital is accredited and will identify hospitals that have not met quality standards.

You can use the Quality Check web site to:

• Find out the hospital’s quality performance from previous years.
• Learn whether the hospital offers certified programs in specific disease areas, such as stroke care.
• Get data on the hospital’s National Quality Improvement Goals. This tells you about the quality of care for several specific conditions, including children’s asthma, heart attack and heart failure, pneumonia, pregnancy, and preventing surgical infections.

Measuring hospital quality isn’t a perfect science. But we have a lot of information today to help you make an educated decision. That’s the best decision for your peace of mind, and for your health.