What Makes a Top 100 Hospital
Ronald Regan UCLA Medical Center – What Makes a Top 100 Hospital
Castellanos, Juan Manuel
DeVry University
What Makes a Top 100 Hospital?
Since 1993, the Truven Health 100 Top Hospitals program has used both independent and objective research to guide hospital and health system performance. In this process, they analyze public data sources to compare hospitals to similar organizations. The 100 Top Hospitals program uses a balanced scorecard that incorporates public data, proprietary, peer-reviewed methodology and key performance metrics to arrive at an objective, independent analysis of hospital or health system performance. This research measures performance, organizational alignment, progress
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Well, the sitting on 4 acres the hospital encompasses Ronald Regan UCLA Medical center, Stewart and Lynda Resnick Neuropsychiatric Hospital at UCLA and Mattel Children’s Hospital UCLA. Some key features I found extremely helpful is their organization. Every floor of Ronald Reagan UCLA Medical Center is devoted to a specific specialty and equipped with all of the essential support equipment and supplies. Every floor has its own satellite pharmacy, dialysis storage, respiratory therapy workrooms, and resident doctor sleep rooms. Additionally; each patient room has the ability to convert into an intensive care unit (ICU) to allow for the continuous care of a critically ill patient in one room. This makes caring for patients extremely easy as everything they need is made available to them at the exact moment of a potential emergency. (Ronald Regan UCLA Medical Center, 2013)
One other element that seems to help with its rating is their “Healing by design” architectural concept. Renowned architects I.M. Pei and C.C. Pei of Pei Partnership Architects designed Ronald Reagan UCLA Medical Center, with the firm of Perkins & Will serving as the executive architect. Their vision was to construct an environment that enhances healing. The design is open and light-filled, organized in pavilions with glass walls facing outdoors, and includes gardens and gathering places. Patient rooms feature panoramic views and bring in an abundance of
The Hospital Consumer Assessment of Healthcare Providers (HCAHPS) began in 2006 with a 27 question survey that is distributed to discharged patients. This survey process was originally designed to help patients compare hospitals in their area to be able to make an informed choice for their healthcare needs. In January 2013, five additional questions were added to the survey. Beginning this year, Medicare reimbursement rates to a hospital are tied to the hospital’s patient satisfaction scores. Therefore, hospitals are continually looking for ways to improve
Healing hospitals focus on patients on a holistic manner. To build this type of care for a healing hospital starts with something as simple as the hospital design. The design of the hospital is very important. Weather there will be a lot of light or not, spacing, and how that space it utilized. “Historically, healthcare
In 2012, the ACA found an excessive amount of readmissions of patients that were hospitalized within 30 days for the same medical conditions. This factor viewed under the ACA as a quality issue and CMS implemented value-based incentive payments based on performance in a set of quality measures. The plan is to implement a pay for performance (P4P) in formulas used by Medicare to reimbursement providers. “The objective is to link reimbursement to quality and efficiency as an incentive to improve the quality of health care, as well as reduce system-wide costs” (Shi and Singh, 2015). In addition to the P4P, nonprofit hospitals also focus on continual improvement, data and cost containment throughout the organization (Adamopoulos,
The surveys are meant to be specific and consistent and are not just used to evaluate the organizations for improvement but are also to educate in the best practice standards adopted throughout health care and to help staff in ways to continually improve an organizations performance. For this purpose, in 1996 the Quality Check website was launched to help the Joint Commission provide information regarding the performance of accredited organizations to consumers and organizations. Users are able to search for accredited or certified organizations; they can locate organizations by either type of service or geographical area and lists of certified organizations as well as a hospital’s performance measures can be obtained.
CMS will be rewarding the top performing hospitals by increasing to their payment for Medicaid patients. HCAHPS survey is sent out within six weeks of the patients discharged, there is 27 questions relating to communication with the staff, cleanliness, pain management, communication about medicines, discharge information and if they would recommend the hospital. The data is to Premier Incorporated to categorize the date, and then place this information on the website http://.wwwhospitalcompar.hhs.gov and available to the public. Health Quality Alliance and Center of Medicare and Medicaid Systems have awarded over eight million to hospitals who have shown improvements in the care of their patients.
Since most specialty procedures are inpatient services, EMC’s inpatient occupancy rate suffers. The occupancy rate for Emanuel Medical Center – fifty percent – is far below that of its competitors and industry benchmarks. To accompany this, EMC (on average) receives a lower reimbursement for in-patient Medicare services per patient seen in comparison to its competitors. A result such as this is correlated with directly to the fewer amount of specialty services that EMC offers. In order for Emanuel Medical Center to be able to compete with other hospitals in its service area, it is imperative that EMC evaluates what services they currently offer and are capable to offer in the future to add value to the hospital, increase its revenue stream, and expand its patient mix. Currently, Emanuel Medical Center has not succumbed to its increasing financial pressurealthough EMC has had a negative operating income for five straight years. A negative operating income places EMC at a disadvantage because it limits the hospitals ability to renovate its aging building or hire new specialists to offer revenue enhancing procedures. EMC’s competitors, on the other hand, have large sources of revenue due to their mergers with large healthcare networks such as Catholic Healthcare West. Another competitor, Kaiser Permanente Modesto Medical Center, has extremely large financial resources due to the fact
The American Hospital Association’s McKesson Quest for Quality Prize compares hospitals that are following certain criteria, such as, partnerships with consumers and families (Johnson et al., 2008). The hospital that receives this recognition also procures a $75,000 award. The Joint Commission includes the Patient-Centered Designation Program award on their website under a hospital’s profile, which people may view to take control of their health (Johnson et al., 2008). Many other institutions offer hospital acknowledgments like these that can promote innovation within hospitals, which can be slow to change.
"What Makes a Top 100 Hospital". Your assignment is to visit one of the websites of one of the 20 top 100 hospitals on the list in this link: Top 20 out of Top 100 Hospitals. After reviewing the hospital and health system, and analyzing its services and organizational structure, you are to write a 500 to 1,000 words (2 to 4 pages) paper on what you feel has made this facility a top 100 hospital. All papers must be submitted in the APA format, which includes title page and reference page, with APA formatted references. In Doc Sharing you will find additional Application Paper information for this assignment.
The Computerized Provider Order Entry is effective program to help organization improve quality measures and financial margins. The CPOE is effective program; which monitors a hospitals current performance and calculates methods of improvement. For example, Trinity Hospital a leader in clinical intelligence to track and report across it members hospitals on systems wide quality measures (Balgrosky, 2015). The Clinical Provider Order Entry will help patients compare programs graded by the Center for Medicare & Medicaid and Hospital Quality Assurance. This program will further enhance the patient-centric model because patients will have comprehensive comparison of hospitals to make informed medical decision as to where they would like to receive treatment. The quality measures monitor readmission, complications, patient’s experience surveys and other categories. Patients are interested in receiving health care in top-notched care facilities that address their needs. Consumer needs are very important because translating into referrals by word-of-mouth or rankings. Technology plays a major role in an organization's success with supports Judy Murphy idea of enhancing patient’s health information technology
Time and again, hospitals are often called upon to improve the quality of its various health care activities in order to better serve patients and immediate communities. A quality improvement plan thus helps in the selection of high priority areas and the utilization of evidence-based practices in conducting the improvement (Berenguer et al., 2010). In view of the healthcare improvement needs of Sunlight Hospital, this paper seeks to classify and justify five measurements of quality of care in a hospital, specify the four main features in a health care organization that can be used in the design of a quality improvement plan, and suggest the salient reasons quality of care would add value and create a competitive advantage
Stanford University Hospital is one of the most innovative hospitals on the West Coast. It is run by a progressive University dedicated to reinvestment in healthcare strategies and improving technological foundations within its leading position in the healthcare industry. Currently, it is being driven by goals to improve patient satisfaction and clinical productivity.
The Centers for Medicare and Medicaid Services (CMS) have recently begun requiring hospitals to report to the public how they are doing on patient care. Brown, Donaldson and Storer Brown (2008) introduce and explain how facilities can use quartile dashboards to
I would rank my patient experience a 7 out of 10. The two important concepts for the ranking is the long waiting for the doctor when entering the emergency room, and the intake at the registration desk. The reason that the ranking is low for the first concept, is because the patient that is that kind of dyer need shouldn't have to wait that long to waiter for a doctor in the emergency room. Once the doctor arrives they should at least act like they're really there for the patient instead just another number. If the doctor is not available at that point in time, there should be a physicians assistant or a hire more doctors for the emergency room. The ranking for the second concept is because the when the patient is scared, in pain, and not thinking
You are an IT Director at a medium-sized urban hospital with 160 beds and 1,500 associates. You are a full-service hospital with a typical list of departments to include multiple ICUs, mother & baby, emergency services, radiology, oncology, surgery, etc. You are considering a new EMR application because the vendor of your current EMR has lost market share, failed to pass meaningful use attestation, and is losing market share with unpredictable future stability state. You are considering a cloud solution as the potential network architecture & strategy.
Columbus Regional Hospital (CRH), a non-for-profit organization with 225 beds, is the system’s star facility (Columbus Regional Health, n.d.). CRH has a Privacy Excellence Award, and the National Committee for Quality Assurance recognized CRH for outstanding patient-centered medical home practices (Columbus Regional Health, n.d.). Additionally, the Becker’s Hospital Review named CRH as a great community hospital, and Thomson Reuters acknowledged CRH in the top 100 hospitals (Columbus Regional Health, n.d.). Moreover, CRH is one of the most beautiful hospitals in America (Columbus Regional Health, n.d.). They provide emergency and surgical services and comprehensive care in many specialty areas, such as, mental health (Columbus Regional Health, n.d.).