433 DO US NEWS & WORLD REPORT TOP UROLOGY HOSPITALS ALSO PROVIDE A BETTER “PATIENT EXPERIENCE”?

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Quality of Life1 Apr 2013433 DO US NEWS & WORLD REPORT TOP UROLOGY HOSPITALS ALSO PROVIDE A BETTER “PATIENT EXPERIENCE”? Chandy Ellimoottil, Spencer Hart, Ahmer Farooq, and Marcus Quek Chandy EllimoottilChandy Ellimoottil Maywood, IL More articles by this author , Spencer HartSpencer Hart Maywood, IL More articles by this author , Ahmer FarooqAhmer Farooq Maywood, IL More articles by this author , and Marcus QuekMarcus Quek Maywood, IL More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.1823AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES U.S. News & World Report's annual “Best Hospitals” rankings are widely used by hospitals for marketing purposes. The methodology used for ranking takes into account multiple different elements of hospital structure, care delivery and outcomes. Currently, the methodology does not include a patient satisfaction instrument. In recent years, the Centers for Medicare and Medicaid services began collecting data on the “Patient Experience” and will soon tie these data to reimbursement. We compared ranked and unranked hospitals to identify whether ranked centers had a better “Patient Experience”. METHODS Using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey database, we collected data on 10 domains related to the “Patient Experience”. We identified the 50 “Best Hospitals” for urology according to the 2012-2013 US News & World Report rankings. We then compared the scores between ranked and unranked hospitals. RESULTS There were 47 ranked hospitals and 4,558 unranked hospitals with data available for analysis. Compared to unranked hospitals, ranked hospitals had a higher mean percentage of patients reporting the highest score for survey questions relating to nurse communication (76.7 vs 64.7, p < 0.001), physician communication (79.06 vs 67.2, p < 0.001), responsiveness of hospital staff (60.3 vs 54.8 p < 0.001), pain management (68.9 vs 58.6 p < 0.001), communication about medicines (61.2 vs 51.9 p < 0.001), discharge information (76.7 vs 64.7 p < 0.001), cleanliness (66.8 vs 60.5 p < 0.001), and quietness (53.6 vs 49.8 p < 0.001). Ranked hospitals also had a higher percentage of patients reporting an overall 9 or 10 out of 10 rating (72.9 vs 57.5 p < 0.001) and recommending the hospital (78.2 vs 58.6 p < 0.001). CONCLUSIONS Our findings suggest that on average hospitals ranked by US News and World Report for urologic care tend to have higher Patient Experience scores as measured by the HCAHPS survey. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e176 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Chandy Ellimoottil Maywood, IL More articles by this author Spencer Hart Maywood, IL More articles by this author Ahmer Farooq Maywood, IL More articles by this author Marcus Quek Maywood, IL More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...