When examining 3,641 private nonprofit hospitals for its rankings, Lown looked beyond the usual metrics used to evaluate hospitals. It sought to encourage these organizations to be more responsible and accountable to the communities they serve, said Dr. Vikas Saini, president of Lown Institute.
“The reason our rankings matter is because, as citizens, all of us have a huge stake in how high quality, how affordable and how just our health care system is,” Saini said. “We’re reporting measures that do all of that.”
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Only 75 hospitals achieved an “A” grade across all three categories used to determine social responsibility: equity, value and outcomes. None of the top 20 U.S. News & World Report hospitals made the honor roll, despite scoring well for value and outcomes.
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Only one California hospital ranked among the 10 most socially responsible hospitals in the United States: Tiny Oroville Hospital, which landed at No. 4 this year on the Lown Institute Hospitals Index.
The hospital serves a large number of Medi-Cal beneficiaries and patients with low education levels, according to the report released Tuesday by the Lown Institute, while also excelling at preventing patient errors and re-admissions, keeping mortality rates low and quality clinical outcomes and running an efficient operation.
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The Cleveland Clinic, the second-best hospital in the nation as ranked by U.S. News and World Report, ranks so poorly in equity metrics that it failed to crack the United States' top 500 hospitals when "social responsibility" was taken into account.
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The second annual most socially responsible hospitals rankings are out from the Lown Institute.
The not-for-profit think tank takes into account readmissions and mortality, along with top executive compensation, charity care, community investments, cost efficiency and value of care.
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Two Baltimore hospitals — Johns Hopkins Bayview Medical Center and the University of Maryland Medical Center Midtown Campus — have been ranked among the top 10 most “socially responsible” health centers in the U.S. by health care think tank and consulting organization.
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"We think that hospitals represent really kind of probably the central part, certainly the most visible and the most active part, of all of American healthcare," Lown Institute President Vikas Saini said. "And to get a better healthcare system, hospitals absolutely have to be part of the solution."
Saini noted that the individual hospitals on the honor roll were not particularly well-known names. "That was the goal of our whole exercise was to really begin to shine a spotlight on hospitals that might be doing things in a way that hadn't yet been really discovered or recognized," he said.
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Relatively few top healthcare organizations rank high for health equity and social responsibility, a jarring finding considering medicine’s statements committing to health equity over the past year, the Lown Institute reported in a press release sent to journalists.
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The Lown Institute, a nonpartisan healthcare think tank, unveiled the social responsibility ranking Sept. 21. The social responsibility list ranks 3,010 hospitals and is based on 54 metrics across three main categories: equity, value and outcomes.
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The full results of the Lown Hospitals Index reveals which hospitals achieve on equity, outcomes, and value... and which hospitals fall short.
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When the FDA approved new Alzheimer's drug Aduhelm based on little clinical evidence, experts protested. Yet the Aduhelm controversy is just the latest in a pattern of regulators approving new drugs based on surrogate endpoints rather than clinical outcomes that matter to patients. In The BMJ, Jeanne Lenzer and Shannon Brownlee argue that surrogate endpoints provide no guarantee of clinical benefit and should be used only as a last resort in drug trials.
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How the Food and Drug Administration messes up approval of new drugs including the new one, aducanumab, that supposedly helps Alzheimer’s disease patients.
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When researchers, media, and advocates teamed up to bring attention to hospital lawsuits, it led to a dramatic decrease in lawsuits filed. What can we learn from this initiative?
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“This drug needs to be pulled off the market — period," said Adam Uratro, the chief of maternal-fetal medicine at MetroWest Medical Center.
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As a matter of simple economics, hospital price transparency will improve competition and encourage more equitable pricing.
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og:description Medical journals are relied on as trusted sources of medical information. For years, authors’ conflicts of interest—both disclosed and undisclosed— have repeatedly undermined the credibility of the medical profession and the medical literature.
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Health care groups don't want transparency that reveals true prices.
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What do hospitals that advertise their services have in common? Lown Intern Neil Trivedi explains in a guest blog post.
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Congress tapped a national academies committee to examine a drug cost issue. It got a report that includes “egregious” failures to disclose conflicts of interest.
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Although we examined only one common shoppable service in this post, the importance of identifying high-price hospitals is generalizable to a broad range of hospital services.
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