Web site compares 4,500 U.S. hospitals
NEW YORK – The Commonwealth Fund
has launched a new Web site that allows healthcare providers to conduct
side-by-side comparisons of 4,500 U.S. hospitals nationwide, track
performance over time against numerous benchmarks, and download tools to
improve healthcare quality.
WhyNotTheBest.org is a free resource which provides data on hospital
performance across two dozen measures of recommended care, and links
users to improvement resources directly related to those measures,
connecting them to hands-on tools they can put into practice.
WhyNotTheBest.org also lets users search for and compare hospitals with
similar characteristics, such as region, ownership, size, and type (such
as safety net, teaching hospital). Benchmark comparisons show how a
hospital measures up against others in the same state, the top 10
percent, or the national average. IPRO, a not-for-profit healthcare
evaluation and quality improvement organization, conducted all data
analysis and Web development for the site.
“There are many report cards that measure quality of care, but
WhyNotTheBest.org is unique in that it allows providers to benchmark
performance against leaders and track improvements, and it provides
credible tools to help providers achieve better performance,” said
Anne-Marie Audet, M.D., Vice President, Quality Improvement and
Efficiency, at the Commonwealth Fund.
WhyNotTheBest.org was created to address shortfalls in the U.S.
healthcare system, such as high variability in healthcare quality as
documented in Why Not The Best: Results from the National Scorecard on
U.S. Health System Performance, a biennial report prepared by The
Commonwealth Fund for its Commission on a High Performance Health
Populated with publicly reported data from the Centers for Medicare and
Medicaid Services (CMS) Web site Hospital Compare, WhyNotTheBest.org
shows how hospitals fared on 24 nationally recognized measures of care,
including those evaluated in The Commonwealth Fund’s National Scorecard
Users can assess hospital performance on recommended care for heart
attack, heart failure, pneumonia, and surgical infection prevention.
Each hospital receives a composite score for performance across these
four conditions as well as an overall composite. Rankings across 10
measures of patient satisfaction are also reported, pulled from data in
the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS),
a survey of patients’ experience in U.S. hospitals.
“We are home to many of the best physicians and hospitals in the world,
but we aren’t where we could be on many quality measures. This resource
offers healthcare providers another useful tool in their continued
efforts to provide the best care possible for their patients,” said
Commonwealth Fund President Karen Davis.
WhyNotTheBest.org links to patient brochures, hospital self-assessment
tools, videos, posters, and other materials created by organizations
like the Institute for Healthcare Improvement (IHI), the Agency for
Healthcare Research and Quality, the American Heart Association, and
various hospitals around the country. The Web site also features seven
case studies of top performing hospitals and their success stories, like
Flowers Hospital in Dothan, Alabama which climbed from average to top
performer in CMS care measures over the last 10 years.
“In five minutes, I was able to compare my own hospital’s performance on
dozens of measures to those of other large teaching hospitals, to best
performers in California, and to national performance leaders, using
WhyNotTheBest.org. I was also able to trend our performance over time
and read how innovators solved their own quality problems.
WhyNotTheBest.org represents the marriage of healthcare transparency and
modern Web technologies, and the results are thrilling,” said Robert
Wachter, M.D., Associate Chairman of Medicine at the University of
California, San Francisco (UCSF) Department of Medicine, Chief of the
Medical Service at UCSF Medical Center, and a national leader in
hospital quality and patient safety.
The Commonwealth Fund will work with organizations such as IHI, the
American Hospital Association, and the American College of Physicians to
encourage their members to learn about this new resource. The site was
user-tested by various hospital organizations and other provider groups.
“We are delighted to work with The Commonwealth Fund on this important
project and strongly believe in data-driven tools which help providers
improve performance,” said Jaz-Michael King, Senior Director of
Healthcare Transparency at IPRO.
Web site design elements include a ‘My Profile’ page where users can
save work to review later and a Google map feature to find hospital
locations. The Commonwealth Fund plans to add other elements such as an
‘Improvement Calculator’ which helps hospitals track their progress
toward meeting certain benchmarks on quality.
As new data become publicly available, the Web site will include
additional performance measures, such as hospitals’ 30-day readmission
rates. More resources and case studies will be added over time,
including best practices for use by a broad range of healthcare
organizations, such as safety net hospitals and health systems.
For more information, see: