In the remaining four specialties (ophthalmology, psychiatry, rehabilitation and rheumatology), ranking is determined entirely by expert opinion, based on responses from three years of surveys of physician specialists who were asked to name the hospitals to which they would be inclined to refer their sickest patients. Some hospitals were rated below average in part because of low patient volume, not necessarily because of a high number of deaths or other adverse events. In some circumstances, where a health system with multiple hospitals had consolidated a certain service at a regional center of excellence, we reassigned Best Regional Hospitals points for that service from the system's center of excellence to the system's flagship hospital. Many ranked hospitals have very low, even zero, reputational scores but are strong clinical performers.

What determined whether a hospital would be ranked?

Across all 16 specialties, only 134 U.S. hospitals performed well enough to be nationally ranked in one or more specialties. This FAQ explains how the Best Hospitals specialty rankings are produced and addresses questions of interest to media and health care professionals. Claims data for VA and military hospitals are not available in Medicare claims data and are largely unavailable. Hospitals that are nationally ranked in at least one of the 12 data-determined specialties, or that earned at least three ratings of high performing and few or no low performing ratings across the ten Best Hospitals procedures and conditions, are further designated as Best Regional Hospitals within their state, metro area or other region. In the 2020-21 rankings, a hospital qualified for consideration in the data-driven specialties if it satisfied any of four criteria: 1) it was a teaching hospital, or 2) it was affiliated with a medical school, or 3) it had at least 200 beds set up and staffed, or 4) it had at least 100 beds and offers at least four out of eight advanced technologies associated with high-quality care, such as a PET/CT scanner and certain precision radiation therapies. The Best Hospitals procedures and conditions ratings – originally called Best Hospitals for Common Care – evaluate almost every hospital in the U.S. that admits patients in any of ten common procedures and conditions: colon cancer surgery, lung cancer surgery, heart bypass surgery, aortic valve surgery, abdominal aortic aneurysm repair, hip replacement, knee replacement, transcatheter aortic valve replacement (TAVR), heart failure and chronic obstructive pulmonary disease (COPD). There's so much information on usnews.com about each hospital.

What methodology changes were made in the 2020-21 rankings? Acting on input from patients, clinicians, researchers, and hospital leaders, several targeted methodological revisions were implemented this year. Families have to weigh many considerations when they seek care for a child, including the stress and expense of traveling to another city with a sick child and staying for days or possibly weeks, as well as an insurer's willingness to pay for care at a hospital outside its approved network. The remaining portion of slightly more than 50% evaluated commitment to patient safety (such as the number of specific ways infections are minimized), excellence (such as the number of fellowship programs) and family centeredness (such as the degree to which families are involved in their children's care). Understanding which one is more relevant to you depends on the medical condition for which you’re seeking hospital quality information.

We are open to exploring alternatives for future editions of the ratings. In fiscal year 2018, Duke Regional Hospital admitted 16,299 patients and had 165,953 outpatient visits in fiscal year 2017. 4 and No. Each year, board-certified physicians in the 16 Best Hospitals specialties are invited to list up to five hospitals, ignoring location and cost, that they consider to be the best in their area of expertise for complex or difficult cases. More than 1 million will have a knee or hip replaced and about 400,000 will undergo heart bypass surgery. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits. For example, we evaluate survival from three types of childhood cancers, bloodstream infections caused by central line catheters and success in managing serious asthma cases. Duke Regional Hospital has served Durham, Orange, Person, Granville and Alamance counties and the surrounding communities for more than 40 years. How did U.S. News build in risk adjustment? There is no pediatric equivalent of the Medicare database U.S. News mines to measure hospital performance in the annual Best Hospitals adult rankings and ratings. That makes decisions about where to go for expert pediatric care simpler than for adult care; ranking small numbers of children's hospitals within a metro area wouldn't offer meaningful assistance. In addition to displaying performance information for the 50 ranked hospitals in each specialty, the same information is shown for unranked hospitals if they provided enough data through the clinical survey to be evaluated.

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