Chief, Health Analysis @USNews & World Report. We publish data, rankings & tools to help patients pick hospitals, doctors & more. My views, not my employer’s.
Feb 1, 2021 • 10 tweets • 6 min read
Bravo. Today, @TJCommission began publicly reporting individual hospitals' C-section rates.
“By identifying hospitals with consistently high cesarean rates, The Joint Commission aims to encourage leaders to... safely reduce their rates,” said David Baker. jointcommission.org/resources/news…@TJCommission 5 years ago, I asked 24 big maternity centers to disclose their NTSV C-section rates; 20 did.
Two noteworthy findings by Wang @rkwadhera@DLBHATTMD in @JAMACardio: 1) Hospitals in the @usnews top 50 have better mortality rates than other hospitals in AMI, CABG & HF. Better HCAHPS, too. Not too surprising, but certainly reassuring. 2) But... jamanetwork.com/journals/jamac…
1/2) But those same top hospitals do no better than others on readmission.
Why? Well, we have to ask ourselves whether readmission is a valid indicator of quality. And if it is, is it valid in all patient cohorts, or only certain ones?
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